Most Relevant Information
Provider Data
| NPI Number: | 1003450693 |
| Provider Name: | ANNIE THERESIA PROPHET-PALMER |
| Entity Type: | Individual |
| Taxonomy Code: | 3747A0650X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/06/2019 |
| Last Updated: | 11/06/2019 |
Provider Practice Location
2220 OLD BRICK RD APT 2220
GLEN ALLEN
VA
230605987
Practice Location Phone/Fax
| Phone: | 7573394685 |
| Fax: |
Provider Mailing Location
2220 OLD BRICK RD APT 2220
GLEN ALLEN
VA
230605987
Provider Mailing Phone/Fax
| Phone: | 7573394685 |
| Fax: |