Individual
ELIZABETH COLLEEN MISTRETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 S CAMERON ST, WINCHESTER, VA 22601-4732
(724) 699-8840
Mailing address
760 WARRIOR DR STE 2-521, STEPHENS CITY, VA 22655-4079
(724) 699-8840
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
0704017365
VA
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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