Individual
VICTORIA AUGUSTA TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
525 E 15TH ST, PANAMA CITY, FL 32405-5412
(850) 522-4485
(850) 872-7761
Mailing address
525 E 15TH ST, PANAMA CITY, FL 32405-5412
(850) 522-4485
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9452235
FL
Other
Enumeration date
03/04/2019
Last updated
03/04/2019
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