Jacqueline Mueller

 
 1 09-18-2023 2:10 PM ET 
 athena 
 19546102614 
 pg 53 of 57 
 Privia - CCA - Cardiac Care Associates PC . 264D Cornwall St, LEESBURG VA 20646-2640 
 Jacqueline Mueller (id #1596376, birth date: 13/97/04) 
 Date of Encounter: 20/16/06 
 Patient 
 Name 
 Jacqueline Mueller (27yo, F) ID# 1596376 
 Appt. Date/Time 
 06/17/01 09:45AM 
 birth date
 13/97/04 
 Service Dept. 
 PMG_CCA_Reston Office* 
 Provider 
 Dr Teresa Hodges, FACC 
 Chief Complaint 
 Transition of Care Encounter 
 Fax (703) 464-4464 NPI: 1115963737 
 Allergies 
 Reviewed Allergies 
 CODEINE: Dizziness 
 NKDA 
 Medications
