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1134214042
ALYSSA R. WAITKUS
RICHMOND, VA
NPI
1134214042
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110002172)
Enumeration Date
2006-10-04
Last Update Date
2016-01-19
Business Address
-- ALYSSA R. WAITKUS PA
1250 E MARSHALL ST DEPARTMENT OF EMERGENCY MEDICINE
RICHMOND, VA 23298-5051
Phone number: 804-828-0999
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Mailing Address
-- ALYSSA R. WAITKUS PA
12801 IRON BRIDGE RD STE 200
CHESTER, VA 23831-1669
Phone number: 804-358-6100
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