Individual
MR. ROBERT DEAN FETHERSTON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-9438
Mailing address
312 TURNSTONE DR, SUFFOLK, VA 23435-3721
(757) 538-2380
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
0001134990
VA
Other
Enumeration date
03/27/2006
Last updated
07/08/2007
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