Individual
MS. JEANE MARIE RYDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
10945 GEORGE MASON CIRCLE, APT 4025, MANASSAS, VA 20110
(540) 239-4234
Mailing address
3510 CATAWBA RD, BLACKSBURG, VA 24060-0526
(540) 239-4234
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126001713
VA
Other
Enumeration date
01/15/2013
Last updated
01/15/2013
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