Individual
KEZIA TYREE ANDRENETTE MCLEMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4620 E 53RD ST STE 200, DAVENPORT, IA 52807-3627
(877) 523-6160
Mailing address
4620 E 53RD ST STE 200, DAVENPORT, IA 52807-3627
(877) 523-6160
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
177268
IA
Other
Enumeration date
10/04/2024
Last updated
10/04/2024
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