Individual
DELORIS VIRGINIA RUPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3150 SHAWNEE DR, WINCHESTER, VA 22601-4208
(540) 542-0200
Mailing address
224 SONYA LN, BUNKER HILL, WV 25413-9603
(304) 702-1129
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/15/2024
Last updated
02/15/2024
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