Individual
THERESA DILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
738 MERCER ST, PRINCETON, WV 24740-3114
(304) 323-3069
(304) 324-7946
Mailing address
738 MERCER ST, PRINCETON, WV 24740-3114
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
17470
WV
Other
Enumeration date
01/11/2023
Last updated
01/11/2023
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