Individual
MS. TERESA CRALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
14631 LEE HWY, #413, CENTREVILLE, VA 20121-5824
(703) 385-8222
Mailing address
PO BOX 4531, FAIRFAX, VA 22038-4531
(434) 996-4670
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001093802
VA
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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