THERESA MCCORMACK

PRINCE GEORGE, VA
NPI1447611868
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: VA  0024165150)
Enumeration Date2016-03-12
Last Update Date2016-03-12
Business Address
Mrs. THERESA MCCORMACK PNP
2035 WATERSIDE RD SUITE 105
PRINCE GEORGE, VA 23875-1265
Phone number: 804-520-0002
Mailing Address
Mrs. THERESA MCCORMACK PNP
2035 WATERSIDE RD SUITE 105
PRINCE GEORGE, VA 23875-1265
Phone number: 804-520-0002