Individual
TERESA FEDOSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
3825 N SALEM RD, FAYETTEVILLE, AR 72704-5423
(479) 409-5479
(479) 571-4329
Mailing address
3825 N SALEM RD, FAYETTEVILLE, AR 72704-5423
(479) 409-5479
(479) 571-4329
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
176B00000X
Midwife
—
—
Other
Enumeration date
04/02/2021
Last updated
04/02/2021
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