Individual
MRS. DEBRA CLEMENT CUPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RTR
Contact information
Practice address
1463 STRIPERS COVE RD, GOODVIEW, VA 24095-3515
(540) 296-0814
Mailing address
1463 STRIPERS COVE RD, GOODVIEW, VA 24095-3515
(540) 296-0814
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
150305
VA
247100000X
Radiologic Technologist
CRT55220
FL
Other
Enumeration date
05/29/2008
Last updated
05/29/2008
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