ROXOLANA LESYA WISE

SILVER SPRING, MD
NPI1114121936
Former NameROXANN STACHIW
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MD  PA75548)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: SC  F 2572)
Enumeration Date2007-06-14
Last Update Date2012-06-26
Business Address
Mrs. ROXOLANA LESYA WISE PA
2415 MUSGROVE RD SUITE 203
SILVER SPRING, MD 20904-5202
Phone number: 301-989-2300
Mailing Address
Mrs. ROXOLANA LESYA WISE PA
2415 MUSGROVE RD SUITE 203
SILVER SPRING, MD 20904-5202
Phone number: 301-989-2300