Graduated: 1992
NPI: 1548282676
Practice Locations (2)
MARY WASHINGTON HEALTHCARE PROVIDERS LLC
1001 SAM PERRY BLVD
FREDERICKSBURG, VA 224014453
5407414350
1179 COURTHOUSE RD, SUITE 1
STAFFORD, VA 225547106
5402888284
Source: CMS National Downloadable File, September 2026.