Individual
CHERYL LOUDERMILK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 S MAIN ST, SUITE 1300, FORT WORTH, TX 76104-4802
(817) 321-4884
Mailing address
1101 S MAIN ST, SUITE 1300, FORT WORTH, TX 76104-4802
(817) 321-4884
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
572671
TX
Other
Enumeration date
07/08/2014
Last updated
07/08/2014
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