Individual
KEIYA TERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2752 HARRISON AVE STE A, EUREKA, CA 95501-4738
(707) 443-4869
(707) 442-5095
Mailing address
PO BOX 491641, LAWRENCEVILLE, GA 30049-0028
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
196094
GA
Other
Enumeration date
04/17/2020
Last updated
09/11/2023
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