Individual
DR. JADE ANTHONY TETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.D.
Contact information
Practice address
114 REYNOLDA VLG, SUITE L, WINSTON SALEM, NC 27106-5131
(336) 724-4452
(877) 886-3348
Mailing address
5200 BEAR CREEK RD, WINSTON SALEM, NC 27106-9603
(336) 413-3761
(877) 886-3348
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
NT00001357
WA
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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