Individual
MS. MARY SANDS RIEDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CNS
Contact information
Practice address
13101 TWIN LAKES DR, CLIFTON, VA 20124-1214
(703) 624-4024
Mailing address
13101 TWIN LAKES DR, CLIFTON, VA 20124-1214
(703) 624-4024
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
—
VA
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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