Individual
TERESA R MCKINNEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-4573
Mailing address
400 NICKED PIN PL, CHESAPEAKE, VA 23323-1762
(757) 953-4573
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
06/16/2006
Last updated
07/08/2007
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