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T'Erra Dale

NPI 1598310856 · on the registry since 2019

Practice

Address
11548 Willet Ct N
Jacksonville, FL 32225
Phone
(904) 402-7530

Registry record

Primary taxonomy
225X00000X
225X00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-08-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida