Individual
TONI CREEKMUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LO
Contact information
Practice address
3601 COUNTY ST, PORTSMOUTH, VA 23707-3103
(757) 397-2020
Mailing address
3601 COUNTY ST, PORTSMOUTH, VA 23707-3103
(757) 397-2020
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1101001866
VA
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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