Individual
ANANDA ROSE MARIE ABLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7001 W BROAD ST STE A, RICHMOND, VA 23294-3701
(804) 673-2722
(804) 282-5723
Mailing address
7001 W BROAD ST STE A, RICHMOND, VA 23294-3701
(804) 673-2722
(804) 282-5723
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110010700
VA
Other
Enumeration date
01/30/2025
Last updated
04/01/2025
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