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Individual
TINSLEY SIMONDS ISELIN
Active
Individual
TINSLEY SIMONDS ISELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110004018
VA
363A00000X
Physician Assistant
Primary
C0004858
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110004018
VIRGINIA LICENSE
—
01
—
C0004858
MARYLAND LICENSE
—
Enumeration date
09/26/2012
Last updated
09/26/2012
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