ILI WATHEN

WALDORF, MD
NPI1063722577
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MD  C0004349)
Enumeration Date2010-10-18
Last Update Date2025-02-21
Business Address
ILI WATHEN PA-C
85 HIGH ST STE 3
WALDORF, MD 20602-2150
Phone number: 301-396-2003
Mailing Address
ILI WATHEN PA-C
11565 FARM DR
LA PLATA, MD 20646-5417
Phone number: 301-752-3667
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