Individual
MAYA PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
5114 BEDE PL, ANNANDALE, VA 22003-4314
(571) 290-1090
Mailing address
5114 BEDE PL, ANNANDALE, VA 22003-4314
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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