Individual
ADLER TERAY THEMISTOCLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
157 SMITH ST, JONESBORO, GA 30236-3546
(770) 473-2464
Mailing address
621 GALLAWAY TER, DELTONA, FL 32725-7266
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9433023
FL
Other
Enumeration date
08/21/2020
Last updated
08/21/2020
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