Individual
EMILY FUNKHOUSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
461 W RESERVOIR RD, WOODSTOCK, VA 22664-2005
(540) 459-8901
(540) 459-9470
Mailing address
461 W RESERVOIR RD, WOODSTOCK, VA 22664-2005
(540) 459-8901
(540) 459-9470
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1101003426
VA
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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