Britten Trace Eddleman I

NPI #1346705613 in Lake Kiowa, Texas

Provider Information

NPI Number: 1346705613
Entity Type: Individual
Name: Britten Trace Eddleman I
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jan 31, 2019
Last Updated: Jan 31, 2019

Practice Location

Address: 103 KAROK CV
City: Lake Kiowa
State: Texas
ZIP Code: 76240-9456
Phone: (479) 787-8657

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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