Terry L Reside, CST, SA-C

NPI #1235468729 in Normal, Illinois

Provider Information

NPI Number
1235468729
Entity Type
Individual
Name
Terry L Reside, CST, SA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist, Other - Surgical Assistant
Credential
CST, SA-C
Enumeration Date
Dec 14, 2009
Last Updated
Dec 14, 2009

Practice Location

Address
1604 VISA DR
City
Normal
ZIP Code
61761-2195
Phone
(309) 846-4716

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist, Other - Surgical AssistantSurgical Assistant

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