Individual
MARY JO CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
125 MARKET ST, VA BEACH, VA 23462-6794
(757) 437-8900
Mailing address
125 MARKET ST, VA BEACH, VA 23462-6794
(757) 437-8900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110002845
VA
Other
Enumeration date
10/28/2008
Last updated
08/04/2014
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