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Individual

ELISABETH S TESHOME

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, BSN

Contact information

Practice address
14640 ESTATE DR, WOODBRIDGE, VA 22193-3225
(703) 966-3527
Mailing address
6053 FORREST HOLLOW LN, SPRINGFIELD, VA 22152-1431
(703) 966-3527

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
VA

Other

Enumeration date
04/05/2024
Last updated
04/05/2024
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