Individual
KERRI J AVEDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1727 AUTUMN RIDGE LN, GRAPEVINE, TX 76051-7937
(623) 451-2600
Mailing address
1727 AUTUMN RIDGE LN, GRAPEVINE, TX 76051-7937
(623) 451-2600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
954216
TX
Other
Enumeration date
10/04/2018
Last updated
10/04/2018
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