Individual
ABIGAIL YVONNE RUNYANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
14605 POTOMAC BRANCH DR STE 100, WOODBRIDGE, VA 22191-3337
(703) 738-4371
(703) 642-1876
Mailing address
11350 MCCORMICK ROAD, EXECUTIVE PLAZA 1, SUITE 501, HUNT VALLEY, MD 21031
(410) 329-1071
(410) 329-1054
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110005887
MD
Other
Enumeration date
12/12/2017
Last updated
12/12/2017
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