Individual
HOLLY NOEL TERWILLIGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1112 BROWN ST, DEXTER, IA 50070-1010
(515) 313-5310
Mailing address
1112 BROWN ST, DEXTER, IA 50070-1010
(515) 313-5310
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
PENDING
IA
Other
Enumeration date
05/15/2008
Last updated
05/15/2008
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