person
Ms. Michelle Rene Sealock, PA-C
Medical Physician Assistant in Fairfax, Virginia
NPI 1063590446

Michelle Rene Sealock is a Medical Physician Assistant based in Clifton, VA and is specialized in Medical. Michelle Rene Sealock practices in Fairfax, VA and has the professional credentials of PA-C. The NPI Number for Michelle Rene Sealock is 1063590446 and holds a License No. 0110002301 (Virginia).

The current practice location address for Michelle Rene Sealock is 11211 Waples Mill Rd, Fairfax, VA and can be reached out via phone at 703-246-9560 and via fax at 703-246-9564. You can also correspond with Michelle Rene Sealock through the mailing address at 13040 LIMESTONE CT, CLIFTON, VA - 20124-0967 (mailing address contact number: 703-801-0929).

Location: 11211 Waples Mill Rd, Fairfax, VA, 20124-0967
person
Provider Profile Details
NPI Number
1063590446
Provider Name
Michelle Rene Sealock
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
11211 Waples Mill Rd, Fairfax, VA, 20124-0967
Phone Number
703-246-9560
Fax Number
703-246-9564
Provider Enumeration Date
11/01/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
11211 Waples Mill Rd
City
State
Zip
22030-7406
Phone Number
703-246-9560
Fax Number
703-246-9564
person
Provider Business Mailing Address Details
Address
13040 Limestone Ct
City
State
Zip
20124-0967
Phone Number
703-801-0929
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
0110002301 (Virginia)
Definition
Definition to come...
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