Individual
HAILEY A REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1975 GLENN MITCHELL DR STE 202, VIRGINIA BEACH, VA 23456-0167
(757) 507-8610
(757) 510-9350
Mailing address
1975 GLENN MITCHELL DR STE 202, VIRGINIA BEACH, VA 23456-0167
(757) 507-8610
(757) 510-9350
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
—
—
363A00000X
Physician Assistant
Primary
0110007241
VA
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/12/2019
Last updated
09/02/2020
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