HEIDI KRISTINE TEDRICK

WILMINGTON, DE
NPI1104496538
Former NameHEIDI KRISTINE NELSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: DE  I3-0011441)
Additional Taxonomies152W00000X Optometrist
(Licence: PA  OEG003785)
Enumeration Date2021-06-28
Last Update Date2022-01-24
Business Address
HEIDI KRISTINE TEDRICK OD
1601 KIRKWOOD HWY
WILMINGTON, DE 19805-4917
Phone number: 302-994-2511
Mailing Address
HEIDI KRISTINE TEDRICK OD
1950 OLD GALLOWS RD STE 520
VIENNA, VA 22182-3970
Phone number: 703-847-8899