Individual
DORETHA WINSLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1104 WARFIELD DR, PORTSMOUTH, VA 23701-3831
(757) 714-4150
Mailing address
PO BOX 3302, PORTSMOUTH, VA 23701-0302
(757) 714-4150
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
08/15/2017
Last updated
08/15/2017
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