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Individual

JUDITH RYAN CLARY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
2000 N BEAUREGARD ST, SUITE 330, ALEXANDRIA, VA 22311-1748
(703) 370-2400
(703) 370-7214
Mailing address
2000 N BEAUREGARD ST, SUITE 330, ALEXANDRIA, VA 22311-1748
(703) 370-2400
(703) 370-7214

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
006132
GA
363AM0700X
Medical Physician Assistant
Primary
0110005075
VA
363AM0700X
Medical Physician Assistant
C0005383
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003112418C
GA
Enumeration date
06/29/2011
Last updated
11/03/2015
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