KIMBERLY DETHEROW

SAN ANTONIO, TX
NPI1811458094
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: TX  AP141095)
Enumeration Date2019-03-28
Last Update Date2019-03-28
Business Address
KIMBERLY DETHEROW APRN
126 MAIN PLZ
SAN ANTONIO, TX 78205-2745
Phone number: 888-365-6271
Mailing Address
KIMBERLY DETHEROW APRN
24015 AUGUSTA FALLS LN
SPRING, TX 77389-4276
Phone number: 832-221-7098
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