Individual
DESTINY F TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1150 E SEQUOIA AVE, TULARE, CA 93274-4508
(559) 556-0030
Mailing address
1150 E SEQUOIA AVE, TULARE, CA 93274-4508
(559) 556-0030
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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