Individual
REBECCA HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1001 SAM PERRY BLVD, FREDERICKSBURG, VA 22401-4453
(703) 609-0647
Mailing address
9702 COURTHOUSE RD, SPOTSYLVANIA, VA 22553-1914
(703) 609-0647
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110-005345
VA
Other
Enumeration date
05/27/2016
Last updated
11/17/2021
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