Individual
MRS. BROOKE LYNNE SUKHANOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLD
Contact information
Practice address
1355 VILLAGE OAKS CIR APT 4, CLEVELAND, TN 37312
(423) 716-3616
Mailing address
1355 VILLAGE OAKS CIR APT 4, CLEVELAND, TN 37312
(423) 716-3616
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
13068072
GA
Other
Enumeration date
01/31/2013
Last updated
01/31/2013
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