Individual
DR. MARY JANE WYMAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
14450 SMOKETOWN RD, WOODBRIDGE, VA 22192-4712
(703) 576-1401
Mailing address
15341 DILLWYN CT, WOODBRIDGE, VA 22193-5869
(703) 576-1401
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00025813
WA
Other
Enumeration date
01/25/2006
Last updated
07/08/2007
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