Individual
KELLY M OVANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6705 MOSS LAKE DR, HIXSON, TN 37343-3472
(623) 693-4115
Mailing address
6705 MOSS LAKE DR, HIXSON, TN 37343-3472
(623) 693-4115
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
TN
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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