Individual
DONALD TERRACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
787 S METCALF ST, LIMA, OH 45804-1030
(619) 847-4758
Mailing address
787 S METCALF ST, LIMA, OH 45804-1030
(619) 847-4758
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0027587
OH
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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