Individual
KIMBERLYN DAIRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
804 S TEXAS AVE, BRYAN, TX 77803-3946
(979) 361-1201
Mailing address
7977 COUNTY ROAD 358, CALDWELL, TX 77836-1459
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1171989
TX
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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