Individual
FERESIE A ISOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5605 CAPRICORN LOOP, KILLEEN, TX 76542
(254) 371-0934
Mailing address
5605 CAPRICORN LOOP, KILLEEN, TX 76542-5771
(254) 317-5500
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
196790
TX
Other
Enumeration date
10/15/2012
Last updated
08/08/2018
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