Individual
TERRY LEE MCNAMARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3808 S PEPPER CHASE, BLOOMINGTON, IN 47401-8425
(812) 822-1161
Mailing address
3808 S PEPPER CHASE, BLOOMINGTON, IN 47401-8425
(812) 822-1161
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/25/2017
Last updated
06/16/2018
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