Individual
MARY CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10660 CRESTWOOD DR, MANASSAS, VA 20109-3432
(703) 369-3937
(703) 369-7147
Mailing address
11930 ACTON LN, WALDORF, MD 20601-3689
(724) 664-6784
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA2534
MD
Other
Enumeration date
06/10/2016
Last updated
01/25/2022
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