Individual
TERRIONA TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1602 SE 39TH TER APT 7, GAINESVILLE, FL 32641-9172
(352) 682-5585
Mailing address
1602 SE 39TH TER APT 7, GAINESVILLE, FL 32641-9172
(352) 682-5585
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
402552
FL
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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