Individual
TEAL M HERENDEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OMT
Contact information
Practice address
8802 KAPHEIM CT, CHARLOTTE, NC 28273-8832
(808) 280-1733
Mailing address
8802 KAPHEIM CT, CHARLOTTE, NC 28273-8832
(808) 280-1733
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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