Individual
MARY ELIZABETH DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
578 E MAIN ST STE B, INDEPENDENCE, VA 24348-3880
(276) 773-2244
(276) 773-9555
Mailing address
578 E MAIN ST STE B, INDEPENDENCE, VA 24348-3880
(276) 773-2244
(276) 773-9555
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
0001206580
VA
Other
Enumeration date
03/08/2019
Last updated
03/08/2019
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