Individual
MRS. MARILYN BRENDA FREIDKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
9812 FALLS RD, POTOMAC, MD 20854-3976
(301) 299-6513
(301) 299-0419
Mailing address
11819 PINEY GLEN LN, POTOMAC, MD 20854-1414
(301) 257-9252
(301) 983-2487
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1101001153
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1101001153
LICENSE
VA
Enumeration date
01/23/2008
Last updated
01/23/2008
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