Individual
DEZERAE PASSION TERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
3745 CONFEDERATION DR, COLUMBUS, OH 43207-6578
(614) 817-9574
Mailing address
3745 CONFEDERATION DR, COLUMBUS, OH 43207-6578
(614) 817-9574
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
602403100522
OH
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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