Individual
CECILE WRIGHT FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12837 MARTINSVILLE HWY LOT 19, CASCADE, VA 24069-3548
(276) 340-4795
Mailing address
PO BOX 3343, MARTINSVILLE, VA 24115-3343
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
T66806501
VA
Other
Enumeration date
12/11/2019
Last updated
12/11/2019
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