Individual
MISS MARY ELIZABETH BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12006 KILARNEY DR, FREDERICKSBURG, VA 22407-7207
(540) 786-9771
(540) 548-8803
Mailing address
12006 KILARNEY DR, FREDERICKSBURG, VA 22407-7207
(540) 786-9771
(540) 548-8803
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110003099
VA
Other
Enumeration date
08/21/2009
Last updated
01/05/2012
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