Individual
MARYSTELLA ANIDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3946 MINNESOTA AVE NE, WASHINGTON, DC 20019-2661
(202) 913-7889
(202) 617-2985
Mailing address
3946 MINNESOTA AVE NE, WASHINGTON, DC 20019-2661
(202) 913-7889
(202) 617-2985
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/01/2022
Last updated
10/15/2024
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