Individual
SHARRON RUTH LAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8584 SEDGE WREN DR, GAINESVILLE, VA 20155-2996
(703) 753-1702
(703) 753-4981
Mailing address
14715 BRISTOW RD, MANASSAS, VA 20112-3945
(703) 753-1702
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202005275
VA
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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