Individual
MS. MIA LYNNE WALDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
19785 CRYSTAL ROCK DRIVE, SUITE 209, GERMANTOWN, MD 20874
(301) 515-2901
(301) 515-5950
Mailing address
19785 CRYSTAL ROCK DRIVE, SUITE 209, GERMANTOWN, MD 20874
(301) 515-2901
(301) 515-5950
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0004737
MD
Other
Enumeration date
06/05/2012
Last updated
06/05/2012
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