KATHLEEN A JETHRO

PORTSMOUTH, VA
NPI1346993219
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: VA  0002095477)
Enumeration Date2022-02-01
Last Update Date2022-02-01
Business Address
KATHLEEN A JETHRO
3311 DOGWOOD DR
PORTSMOUTH, VA 23703-3713
Phone number: 757-619-3597
Mailing Address
KATHLEEN A JETHRO
3311 DOGWOOD DR
PORTSMOUTH, VA 23703-3713
Phone number: 757-619-3597