Most Relevant Information
Provider Data
| NPI Number: | 1003669565 |
| Provider Name: | HENRIETTA DEDO |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 0024189775 |
Most Important Dates
| Enumeration Date: | 04/05/2024 |
| Last Updated: | 04/05/2024 |
Provider Practice Location
1212 PICKETT CIR
FREDERICKSBURG
VA
224012608
Practice Location Phone/Fax
| Phone: | 5712127593 |
| Fax: |
Provider Mailing Location
1212 PICKETT CIR
FREDERICKSBURG
VA
224012608
Provider Mailing Phone/Fax
| Phone: | 5712127593 |
| Fax: |