Individual
REBECCA KEALA-KA'A HANRAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
990 MARLANDWOOD RD, TEMPLE, TX 76502-3365
(317) 979-5480
Mailing address
1119 KISKADEE BRANCH DR, TEMPLE, TX 76502-2174
(317) 979-5480
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27068224A
IN
Other
Enumeration date
05/02/2020
Last updated
05/02/2020
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