SALLY HAINES KOCH

CHARLOTTESVILLE, VA
NPI1215523915
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: VA  0024179671)
Enumeration Date2020-12-16
Last Update Date2020-12-16
Business Address
SALLY HAINES KOCH FNP-BC
675 PETER JEFFERSON PKWY STE 300
CHARLOTTESVILLE, VA 22911-8618
Phone number: 434-817-6900
Mailing Address
SALLY HAINES KOCH FNP-BC
103 BAYLOR PL
CHARLOTTESVILLE, VA 22902-6096
Phone number:
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