Individual
RYAN MAY EAGLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 SAM PERRY BLVD, SUITE 240, FREDERICKSBURG, VA 22401-4490
(540) 741-7079
Mailing address
1101 TOWNSEND BLVD, APT 8, FREDERICKSBURG, VA 22401-8111
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202005201
VA
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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