Individual
STACEY WORTHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8437 HILLCREEK DR, MIDLOTHIAN, VA 23112-6807
(804) 814-3180
Mailing address
8437 HILLCREEK DR, MIDLOTHIAN, VA 23112-6807
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
S261038-6
VA
Other
Enumeration date
01/06/2011
Last updated
01/06/2011
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