Individual
MISTY TILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
315 E LEE HWY, NEW MARKET, VA 22844-3103
(540) 740-8041
Mailing address
484 S MASON ST, HARRISONBURG, VA 22801-4026
(540) 421-5892
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0119004946
VA
Other
Enumeration date
01/03/2015
Last updated
01/03/2015
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