Individual
KERRI CODUTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3730 N JOSEY LN, #104, CARROLLTON, TX 75007-2484
(972) 492-0333
Mailing address
3730 N JOSEY LN, #104, CARROLLTON, TX 75007-2484
(972) 492-0333
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP130609
TX
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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