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Individual

THERESA Y GERLACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
13350 FRANKLIN FARM RD, SUITE 100, HERNDON, VA 20171-4091
(703) 334-1010
Mailing address
PO BOX 71230, PHILADELPHIA, PA 19176-6230
(703) 383-6469

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024112462
VA

Other

Enumeration date
05/12/2008
Last updated
01/24/2012
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