Individual
QUATISHA ASHLEY TEDFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COSMETOLOGIST
Contact information
Practice address
103 STOCKVIEW TER, STOCKBRIDGE, GA 30281-3317
(810) 410-7979
Mailing address
103 STOCKVIEW TER, STOCKBRIDGE, GA 30281-3317
(810) 410-7979
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
GA
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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