Individual
SUSIE FALTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
208 DEER SPRING LN, SMITHFIELD, VA 23430-2942
(757) 357-0809
(757) 357-0809
Mailing address
208 DEER SPRING LN, SMITHFIELD, VA 23430-2942
(757) 357-0809
(757) 357-0809
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
T65520517
VA
Other
Enumeration date
06/28/2018
Last updated
06/28/2018
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