Individual
KANDICE HERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC-NIC
Contact information
Practice address
500 W 4TH ST, ODESSA, TX 79761-5001
(432) 640-2729
Mailing address
18 LOS MEDIOS DR, ODESSA, TX 79765-2513
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
1022154
TX
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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