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CYNTHIA D HARTLEY PA-C

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1619112406

Individual Registrant:
 CYNTHIA D HARTLEY PA-C
Gender: F
Not Sole Proprietor

Location and contact information for practice:
8316 ARLINGTON BLVD SUITE 410 FAIRFAX, VA 22031-5207 US
Tel: 703-573-6985  Fax: --

Contact information for business:
9609 LAKE MIST CT  FAIRFAX STATION, VA 22039-2677 US
Tel: 801-635-6886  Fax: --

Registration Information:
NPI: 1619112406
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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