Individual
KIMBERLY ILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2150 W WASHINGTON ST, STEPHENVILLE, TX 76401-3928
(254) 965-2267
Mailing address
2150 W WASHINGTON ST, STEPHENVILLE, TX 76401-3928
(254) 965-2267
(254) 965-0832
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
232234
TX
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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