Individual
KASI RAE TOWERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3132 N HANCOCK AVE, ODESSA, TX 79762-7535
(432) 640-7892
Mailing address
3132 N HANCOCK AVE, ODESSA, TX 79762-7535
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
763935
TX
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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