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Individual

MS. RACHEL H. RIDGWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, PA-C

Contact information

Practice address
850 OAK ST, FREDERICK, MD 21702
(301) 698-8374
Mailing address
850 OAK STREET, FREDERICK, MD 21702
(301) 698-8374

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0003887
MD

Other

Enumeration date
10/14/2008
Last updated
11/04/2009
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