Individual
TERESA WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14616 NW 144TH ST, ALACHUA, FL 32615-8528
(386) 462-1473
Mailing address
PO BOX 958, ALACHUA, FL 32616-0958
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
03/19/2021
Last updated
03/19/2021
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