Individual
MS. AFSANAH SALLES WIDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3716 MELROSE AVE NW, ROANOKE, VA 24017-2716
(540) 362-0360
Mailing address
3716 MELROSE AVE NW, ROANOKE, VA 24017-2716
(540) 362-0360
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0110003763
VA
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/27/2011
Last updated
09/26/2023
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