Individual
RUTH AVIGAN MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11130 SUNRISE VALLEY DR, SUITE #150, RESTON, VA 20191-4398
(703) 262-0100
(703) 262-0333
Mailing address
11130 SUNRISE VALLEY DR, SUITE #150, RESTON, VA 20191-4398
(703) 262-0100
(703) 262-0333
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
0101037069
VA
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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