Individual
TESHA M MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
740 MAIN ST REAR, STROUDSBURG, PA 18360-2011
(570) 424-2900
Mailing address
44 QUAIL HOLLOW DR, HOCKESSIN, DE 19707-1404
(570) 424-2900
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
CO269512
PA
Other
Enumeration date
04/23/2021
Last updated
04/23/2021
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