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Individual

MRS. MARY E MAYDOSZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
3300 GALLOWS ROAD, PHYSICIAN BILLING, FALLS CHURCH, VA 22042-3300
(703) 776-2545
(703) 776-2917
Mailing address
3300 GALLOWS ROAD, PHYSICIAN BILLING, FALLS CHURCH, VA 22042-3300
(703) 776-2545
(703) 776-2917

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
001105038
VA

Other

Enumeration date
10/04/2006
Last updated
08/08/2011
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