ILI WATHEN

WALDORF, MD
NPI1063722577
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MD  C0004349)
Enumeration Date2010-10-18
Last Update Date2025-07-28
Business Address
ILI WATHEN PA-C
3500 OLD WASHINGTON RD STE 201
WALDORF, MD 20602-3238
Phone number: 301-396-2003
Mailing Address
ILI WATHEN PA-C
11565 FARM DR
LA PLATA, MD 20646-5417
Phone number: 301-752-3667