Individual
DR. VIRGINIA LEA WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
1800 DUAL HWY STE 303, HAGERSTOWN, MD 21740
(301) 739-0400
(301) 739-0402
Mailing address
1800 DUAL HWY STE 303, HAGERSTOWN, MD 21740-6648
(301) 739-0400
(301) 739-0402
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1094
MD
231H00000X
Audiologist
2201001817
VA
Other
Enumeration date
03/30/2006
Last updated
01/26/2021
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