Individual
STINA R WILBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COMT
Contact information
Practice address
537 MAIN ST, BLAND, VA 24315-5480
(276) 688-3667
Mailing address
537 MAIN ST, BLAND, VA 24315-5480
(276) 688-3667
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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