Individual
MS. VICTORIA M TETTEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19215 I-45 SOUTH, SHENANDOAH, TX 77385
(281) 419-5158
Mailing address
30007 S LAKE FALLS CIR, SPRING, TX 77386-2897
(281) 292-9236
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
42683
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649287566
—
TX
Enumeration date
06/22/2010
Last updated
05/15/2012
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