Individual
KERRY A. TESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDC
Contact information
Practice address
108 SANDA AVE BLDG 564, WILLIAMSBURG, VA 23185-5830
(757) 887-7312
(757) 887-7438
Mailing address
108 SANDA AVE BLDG 564, WILLIAMSBURG, VA 23185-5830
(757) 887-7312
(757) 887-7438
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
08/16/2010
Last updated
08/16/2010
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