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Individual

JENNIFER O. RIEMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
(571) 231-3224
Mailing address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110004573
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C49000002
MEDICARE PTAN
KS
01
P00739993
MEDICARE RAILROAD
KS
Enumeration date
04/09/2009
Last updated
02/17/2016
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