Kerry L Terral, 164X00000X

NPI #1710487723 in Mineral Wells, Texas

Provider Information

NPI Number
1710487723
Entity Type
Individual
Name
Kerry L Terral, 164X00000X
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Vocational Nurse
Credential
164X00000X
Enumeration Date
Feb 16, 2018
Last Updated
Feb 16, 2018

Practice Location

Address
1301 SE 22ND AVE
State
Texas
ZIP Code
76067-6777
Phone
(940) 468-2083

Specialties & Taxonomy Codes

Specialty
Licensed Vocational Nurse

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