JUSTIN RICHARD WAITE

COLUMBIA, MD
NPI1003203845
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: MD  C0005749)
Enumeration Date2015-04-20
Last Update Date2018-03-22
Business Address
JUSTIN RICHARD WAITE
5900 CEDAR LN
COLUMBIA, MD 21044-3635
Phone number: 443-718-4067
Mailing Address
JUSTIN RICHARD WAITE
5000 COX RD
GLEN ALLEN, VA 23060-9263
Phone number: 804-968-5700
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