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Individual

SIERRA CHURCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
120 PROFESSIONAL PARK DR SE STE 7, BLACKSBURG, VA 24060-6739
(540) 443-3832
(540) 443-9362
Mailing address
120 PROFESSIONAL PARK DR SE STE 7, BLACKSBURG, VA 24060-6739
(540) 443-3832
(540) 443-9362

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110006397
VA

Other

Enumeration date
09/24/2018
Last updated
07/25/2019
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