Individual
ALBERT HERDEG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
319 WOOD DUCK CT, SUFFOLK, VA 23434-8096
(757) 817-4114
Mailing address
319 WOOD DUCK CT, SUFFOLK, VA 23434-8096
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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