Individual
CLAIRE H WOLTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8120 GATEHOUSE RD FL 3, FALLS CHURCH, VA 22042-1204
(703) 573-3687
Mailing address
1207 RAYMOND AVE, MC LEAN, VA 22101-2633
(703) 229-9279
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110008933
VA
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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