Individual
PATRICIA DARLENE PINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1205 S MAIN ST, WOODSTOCK, VA 22664-1024
(540) 247-3275
(540) 301-5239
Mailing address
505 N MAIN ST, SUITE 109, WOODSTOCK, VA 22664-1851
(540) 247-3275
(540) 459-2039
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0102732002
—
VA
Enumeration date
01/27/2016
Last updated
02/04/2021
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