Individual
HEIDI TEDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 CARLYLE AVE, BELLEVILLE, IL 62221-6223
(618) 222-1827
Mailing address
515 CARLYLE AVE, BELLEVILLE, IL 62221-6223
(618) 222-1827
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
049239806
IL
Other
Enumeration date
02/07/2023
Last updated
02/07/2023
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