Individual
KIESHIA TERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
94 W WOODBURY DR, DAYTON, OH 45415-2836
(937) 684-3600
Mailing address
PO BOX 26096, TROTWOOD, OH 45426-0096
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN383678
OH
Other
Enumeration date
04/07/2020
Last updated
12/19/2020
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