Individual
CYNTHIA HARTLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
137 AFTON LN, GOODVIEW, VA 24095-2311
(540) 797-0633
Mailing address
PO BOX 111, GOODVIEW, VA 24095-0111
(540) 797-0633
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
08/10/2017
Last updated
08/10/2017
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