Individual
MRS. KATHERINE STEPHENSON LOOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5818 HARBOUR VIEW BLVD, SUITE 200, SUFFOLK, VA 23435-3315
(757) 673-6000
(757) 673-6007
Mailing address
5818 HARBOUR VIEW BLVD, SUITE 200, SUFFOLK, VA 23435-3315
(757) 673-6000
(757) 673-6007
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110004592
VA
Other
Enumeration date
06/16/2014
Last updated
06/16/2014
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