THEODORE HARRISON

SUFFOLK, VA
NPI1972791218
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2007-10-11
Last Update Date2007-10-11
Business Address
Mr. THEODORE HARRISON IDC
3020 SILVER CHARM CIR
SUFFOLK, VA 23435-3343
Phone number: 757-375-5017
Mailing Address
Mr. THEODORE HARRISON IDC
3020 SILVER CHARM CIR
SUFFOLK, VA 23435-3343
Phone number: 757-375-5017