Individual
SHANTERA L CHILDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
3595 LUCY RD, MILLINGTON, TN 38053-7807
(901) 239-7906
Mailing address
3595 LUCY RD, MILLINGTON, TN 38053-7807
(901) 239-7906
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
0000037824
TN
Other
Enumeration date
09/29/2011
Last updated
09/29/2011
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