Individual
DR. TERESA LEAH HILLIARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
5632 ANNAPOLIS RD STE 12, BLADENSBURG, MD 20710-2213
(301) 390-4440
(202) 726-0656
Mailing address
615 QUACKENBOS ST NW, WASHINGTON, DC 20011-1229
(301) 390-4440
(202) 726-0656
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
01129
MD
213E00000X
Podiatrist
103000906
VA
213E00000X
Podiatrist
Primary
PO517
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011297300
—
DC
Enumeration date
10/25/2006
Last updated
10/30/2018
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