Individual
TINNIE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3709 PINEY RD, GRETNA, VA 24557-2524
(540) 352-0200
Mailing address
3709 PINEY RD, GRETNA, VA 24557-2524
(540) 352-0200
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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