Individual
TERRY LEA MARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3488 2300 RD, FREDONIA, KS 66736-2204
(620) 692-3214
Mailing address
3488 2300 RD, FREDONIA, KS 66736-2204
(620) 692-3214
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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