Individual
TERISSA PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
51 GOLDEN BIRCH DR, FORT STEWART, GA 31315-2714
(253) 219-8656
Mailing address
51 GOLDEN BIRCH DR, FORT STEWART, GA 31315-2714
(253) 219-8656
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002056078
VA
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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