Individual provider · Type 1 NPI

Mia Lynne Waldon, PA-C

Medical Physician Assistant · Germantown, MD

NPI number 1912268087 Active

Practice location

19785 Crystal Rock Drive, Suite 209
Germantown, MD 20874

Call (301) 515-2901 Map

Fax (301) 515-5950

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XC0004737 (MD)

Medical Physician Assistant: Definition to come...

2 other providers at this address

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About NPI 1912268087

Mia Lynne Waldon, PA-C's National Provider Identifier is 1912268087, issued on Jun 5, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Germantown, MD. The record was last updated on Jun 5, 2012.