Individual
THERESA DALE CASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5215 COLLEY AVE, NORFOLK, VA 23508-2166
(757) 416-4083
Mailing address
4977 HAYGOOD RD, VIRGINIA BEACH, VA 23455-5246
(757) 416-4083
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001235692
VA
Other
Enumeration date
02/12/2019
Last updated
02/12/2019
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