Individual
AVERY TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NERO DIAGNOSTICS
Contact information
Practice address
39520 MURRIETA HOT SPRINGS RD STE 219, MURRIETA, CA 92563-7714
(619) 818-5442
Mailing address
39520 MURRIETA HOT SPRINGS RD STE 219, MURRIETA, CA 92563-7714
(619) 818-5442
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
994791940
LLC
CA
Enumeration date
10/23/2024
Last updated
10/26/2024
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