Individual
MISKER N TEGEGN SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7608 HULL STREET RD, NORTH CHESTERFIELD, VA 23235-6402
(804) 873-2477
(804) 320-3190
Mailing address
7608 HULL STREET RD, NORTH CHESTERFIELD, VA 23235-6402
(804) 873-2477
(804) 320-3190
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
08/03/2018
Last updated
08/03/2018
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