Individual
ELAINE TWIGG WATERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6319 CASTLE PL STE 2A, FALLS CHURCH, VA 22044-1907
(703) 373-7338
Mailing address
6319 CASTLE PL STE 2A, FALLS CHURCH, VA 22044-1907
(703) 373-7338
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110007481
VA
Other
Enumeration date
11/25/2020
Last updated
10/02/2023
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