Individual
MRS. MILDRED ALJUNE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
209 W CRISER RD, SUITE 100, FRONT ROYAL, VA 22630-2360
(540) 636-2931
(540) 636-2933
Mailing address
2 CRESTVIEW DR, FRONT ROYAL, VA 22630-4100
(540) 636-2931
(540) 636-2933
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001055816
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001055816
RN LICENSE NUMBER
VA
Enumeration date
05/17/2007
Last updated
01/18/2008
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