Individual
THERESA MARIE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
305 WAKEFIELD DR, LOCUST GROVE, VA 22508-5135
(301) 377-9120
Mailing address
25385 GERMANNA HWY, LIGNUM, VA 22726-2141
(540) 219-7036
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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