Individual
ANGIE LYN RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
611 W JUBAL EARLY DR STE C, WINCHESTER, VA 22601-6501
(844) 854-1116
Mailing address
1500 S DOUGLAS RD STE 230C, CORAL GABLES, FL 33134-4108
(844) 854-1116
(305) 846-9711
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
VA
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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