STACEY A ROUMILLAT

FREDERICKSBURG, VA
NPI1073084984
Former NameSTACEY WALDRON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: VA  0110006581)
Enumeration Date2018-12-17
Last Update Date2022-12-01
Business Address
STACEY A ROUMILLAT pa
3310 FALL HILL AVE
FREDERICKSBURG, VA 22401-3000
Phone number: 540-373-4602
Mailing Address
STACEY A ROUMILLAT pa
2300 FALL HILL AVE STE 317
FREDERICKSBURG, VA 22401-3343
Phone number: 407-414-2575
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