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Individual
DR. TERESA A MAYHEW-SUTHERLAND
Active
Individual
DR. TERESA A MAYHEW-SUTHERLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8802T
CA
152W00000X
Optometrist
ODP-778
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD008802
—
CA
05
—
SD0088020
—
CA
Enumeration date
02/03/2006
Last updated
03/14/2019
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