Individual
MS. TONYA JENETTIA BALTHROP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
4318 OLD HUNDRED RD STE G, CHESTER, VA 23831-4231
(703) 386-0088
Mailing address
4318 OLD HUNDRED RD STE G, CHESTER, VA 23831-4231
(703) 386-0088
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002068793
VA
Other
Enumeration date
12/11/2010
Last updated
02/21/2019
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