Individual
MARILYN E CALDWELL SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
22895 BRAMBLETON PLAZA, SUITE 200, BRAMBLETON, VA 20148-4876
(703) 726-0003
(703) 726-6444
Mailing address
1522 SHELLBARK PL, HERNDON, VA 20170-2853
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110002635
VA
363AM0700X
Medical Physician Assistant
0110002635
VA
Other
Enumeration date
10/11/2007
Last updated
06/01/2016
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