SearchVirginia164W00000X

Kathleen Jethro

NPI 1346993219 · on the registry since 2022 · sole proprietor

Practice

Address
3311 Dogwood Dr
Portsmouth, VA 23703
Phone
(757) 619-3597

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-02-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia