Individual
KIMBERLY ANN TERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 22, ROZEL, KS 67574-0022
(620) 804-0035
Mailing address
PO BOX 22, ROZEL, KS 67574-0022
(620) 804-0035
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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