Individual
MRS. EVAN E MINTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
808 EDEN WAY N STE 102, CHESAPEAKE, VA 23320-0745
(757) 216-4030
(757) 216-4029
Mailing address
808 EDEN WAY N STE 102, CHESAPEAKE, VA 23320-0745
(757) 216-4030
(757) 216-4029
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110003897
VA
Other
Enumeration date
07/17/2012
Last updated
08/21/2019
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