Individual
MRS. KATHRYN ROSE EAGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
166 TINKERVILLE RD, GLASGOW, VA 24555-2962
(540) 291-3373
(540) 291-3373
Mailing address
166 TINKERVILLE RD, GLASGOW, VA 24555-2962
(540) 291-3373
(540) 291-3373
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
1101003356
VA
Other
Enumeration date
01/16/2008
Last updated
01/16/2008
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