Individual
THERESA A. VANNIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
7238 MECHANICSVILLE TPKE, MECHANICSVILLE, VA 23111-3502
(804) 559-9900
(804) 559-6530
Mailing address
PO BOX 758963, BALTIMORE, MD 21275-8963
(804) 822-4355
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101048617
VA
Other
Enumeration date
02/22/2006
Last updated
10/24/2012
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