Individual
MARLA M MEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1225 MARTHA CUSTIS DR, SUITE C7, ALEXANDRIA, VA 22302-2000
(703) 998-6760
Mailing address
1225 MARTHA CUSTIS DR, SUITE C7, ALEXANDRIA, VA 22302-2000
(703) 998-6760
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS017166
PA
Other
Enumeration date
07/07/2011
Last updated
02/04/2016
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