Individual
MRS. MAYA WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11240 WAPLES MILL RD, FAIRFAX, VA 22030-6078
(703) 362-2663
Mailing address
5307 16TH ST N, ARLINGTON, VA 22205-2714
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
222Q00000X
VA
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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