Individual
VICTORIA ROS WILDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8901 WISCONSIN AVE, BETHESDA, MD 20889-0003
(301) 295-0786
Mailing address
5642 LICK RIVER LN, GAINESVILLE, VA 20155-1341
(703) 856-1820
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110001784
VA
Other
Enumeration date
03/07/2007
Last updated
10/25/2012
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