Individual
GEENA SOLLECITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10415 WALLACE ALLEY ST, KINGSPORT, TN 37663-3936
(423) 390-0451
Mailing address
10415 WALLACE ALLEY ST, KINGSPORT, TN 37663-3936
(423) 390-0451
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
167972
CT
367500000X
Certified Registered Nurse Anesthetist
Primary
34358
TN
Other
Enumeration date
07/20/2021
Last updated
01/03/2024
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