Individual
THERESA NIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3025 SASSAFRAS TREE CT, DUMFRIES, VA 22026-3381
(334) 327-0979
Mailing address
3025 SASSAFRAS TREE CT, DUMFRIES, VA 22026-3381
(334) 327-0979
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
372500000X
Chore Provider
—
—
374U00000X
Home Health Aide
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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