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Individual

JOHN EDWARD VANCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BOCO, ATC

Contact information

Practice address
WRNMMC ORTHOTICS & PROSTHETICS, 8901 WISCONSIN AVENUE, BLDG 19, FL 1ST, RM 1500, BETHESDA, MD 20889
(301) 221-1638
Mailing address
WRNMMC ORTHOTICS & PROSTHETICS, 8901 WISCONSIN AVENUE, BLDG 19, FL 1ST, RM 1500, BETHESDA, MD 20889

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
C50185
MD

Other

Enumeration date
03/14/2017
Last updated
04/02/2024
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