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Individual

MARY ELIZABETH WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
19465 DEERFIELD AVE STE 405, LEESBURG, VA 20176-1707
(703) 858-1800
(703) 858-1801
Mailing address
19465 DEERFIELD AVE STE 405, LEESBURG, VA 20176-1707
(703) 858-1800
(703) 858-1801

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110007139
VA
363A00000X
Physician Assistant
C05036
MD

Other

Enumeration date
04/04/2013
Last updated
06/17/2024
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