Individual
DR. RUINA MACARIOLA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1830 TOWN CTR DR, #101, RESTON, VA 20190
(703) 437-8397
(703) 709-0675
Mailing address
1830 TOWN CTR DR, #101, RESTON, VA 20190
(703) 437-8397
(703) 709-0675
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
VA
Other
Enumeration date
06/01/2007
Last updated
07/08/2007
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