Individual
THERESA M MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1601 MILLTOWN RD STE 15, WILMINGTON, DE 19808-4084
(302) 633-4035
Mailing address
1601 MILLTOWN RD STE 15, WILMINGTON, DE 19808-4084
(302) 633-4035
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MT-0000918
DE
Other
Enumeration date
09/30/2016
Last updated
09/30/2016
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