Individual
MONTANA LYNNE WEITZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5249 DUKE ST STE 100, ALEXANDRIA, VA 22304-2907
(703) 658-2650
Mailing address
816 N OAKLAND ST APT 406, ARLINGTON, VA 22203-5856
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110007923
VA
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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