Individual
TERESA B SLADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12569 PLYMOUTH CT, WOODBRIDGE, VA 22192-2349
(571) 284-9406
Mailing address
1427 HOLBROOK ST NE APT 3, WASHINGTON, DC 20002-2936
(571) 284-9406
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
VA
Other
Enumeration date
05/14/2018
Last updated
05/14/2018
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