Individual
TECKELA SAMYELL GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8760 LANDMARK RD STE A, RICHMOND, VA 23228-2802
(804) 688-0000
(804) 774-7533
Mailing address
8760 LANDMARK RD, RICHMOND, VA 23228-2802
(804) 688-0000
(804) 774-7533
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
05/02/2023
Last updated
05/09/2023
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