Individual
TETTEH ADDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13081 CAROLYN FOREST DR, WOODBRIDGE, VA 22192-5621
(757) 268-9992
Mailing address
13081 CAROLYN FOREST DR, WOODBRIDGE, VA 22192-5621
(757) 268-9992
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
10747373
VA
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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