Individual
BENELL ACKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3904 CAROLYN DR, KILLEEN, TX 76542-7838
(512) 779-5805
Mailing address
3904 CAROLYN DR, KILLEEN, TX 76542-7838
(512) 779-5805
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
300815
TX
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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