ISAAC DERYL OVERHOLTZER

FORT HOOD, TX
NPI1811655764
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: UT  10966491-3101)
Enumeration Date2021-12-07
Last Update Date2021-12-07
Business Address
Mr. ISAAC DERYL OVERHOLTZER
36065 SANTA FE AVE
FORT HOOD, TX 76544-5060
Phone number: 254-553-3147
Mailing Address
Mr. ISAAC DERYL OVERHOLTZER
679 FM 2808 # 7
KEMPNER, TX 76539-5744
Phone number: 254-577-0681
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