Individual
DR. PATRICIA LOUISE TESTAMARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
44 MEDICAL PARK BLVD, STE H, PETERSBURG, VA 23805-9349
(804) 898-3373
(804) 479-3775
Mailing address
44 MEDICAL PARK BLVD, STE H, PETERSBURG, VA 23805-9349
(804) 898-3373
(804) 479-3775
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000693
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010315891
—
VA
Enumeration date
08/11/2005
Last updated
12/30/2019
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