Individual
MRS. THERESA M FALLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
400 12TH ST APT 304, LYNCHBURG, VA 24504-2505
(864) 475-7855
Mailing address
400 12TH ST APT 304, LYNCHBURG, VA 24504-2505
(864) 508-1150
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
109356
SC
Other
Enumeration date
09/12/2019
Last updated
07/15/2025
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