Most Relevant Information
Provider Data
| NPI Number: | 1003566332 |
| Provider Name: | DAN ANNA TEDDY |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/28/2022 |
| Last Updated: | 03/28/2022 |
Provider Practice Location
13540 HULL STREET RD
MIDLOTHIAN
VA
231122107
Practice Location Phone/Fax
| Phone: | 8047396142 |
| Fax: |
Provider Mailing Location
420 HIGH ST APT 309
PETERSBURG
VA
238033827
Provider Mailing Phone/Fax
| Phone: | 8049436419 |
| Fax: |