Individual
FALLON BURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8275 STURBRIDGE WAY APT 1, CORDOVA, TN 38018-8075
(901) 240-3439
Mailing address
8275 STURBRIDGE WAY APT 1, CORDOVA, TN 38018-8075
(901) 240-3439
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
138072
TN
Other
Enumeration date
04/15/2016
Last updated
04/18/2016
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