Individual
CATHY FAILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6349 BLOSSOM VIEW LN, HENRICO, VA 23231-5343
(804) 502-8650
Mailing address
PO BOX 38918, HENRICO, VA 23231-1312
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
C15582976
VA
Other
Enumeration date
02/05/2015
Last updated
10/14/2015
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