Individual
TEALECE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5318 GARDNER CT, WILLIAMSBURG, VA 23188-1973
(702) 518-8385
Mailing address
5318 GARDNER CT, WILLIAMSBURG, VA 23188-1973
(702) 518-8385
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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