Individual
THERESA TITUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2913 VALLEY AVE, WINCHESTER, VA 22601-2676
(540) 536-5200
Mailing address
2913 VALLEY AVE, WINCHESTER, VA 22601-2676
(540) 536-5200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
118815
WV
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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