Individual
DR. QUYEN C SOULSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
370 LORETTO DR, WYTHEVILLE, VA 24382-2078
(540) 588-1130
Mailing address
370 LORETTO DR, WYTHEVILLE, VA 24382-2078
(540) 588-1130
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
0103301000
VA
213ES0131X
Foot Surgery Podiatrist
Primary
0103301000
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9464361
AETNA
VA
Enumeration date
04/03/2009
Last updated
03/01/2013
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