Individual
RYLEIGH MARIE ETZWEILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5401 OLD COURT RD, RANDALLSTOWN, MD 21133-5103
(000) 000-0000
Mailing address
21278 MEADOWSWEET CT, ASHBURN, VA 20147-5404
(571) 442-6507
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
C0008651
MD
363A00000X
Physician Assistant
Primary
C08651
MD
Other
Enumeration date
09/27/2022
Last updated
11/21/2022
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