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Individual

MRS. ELIZABETH ROSS WYMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., PA-C

Contact information

Practice address
4612 5TH ST S, ARLINGTON, VA 22204-1323
(703) 302-5686
Mailing address
4612 5TH ST S, ARLINGTON, VA 22204-1323
(703) 302-5686

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA030450
DC

Other

Enumeration date
02/02/2007
Last updated
07/08/2007
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