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Individual

VALERIE AVAKOV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
6505 PREMIER DR, NASHVILLE, TN 37209-2916
(615) 939-7029
(615) 930-3729
Mailing address
6505 PREMIER DR, NASHVILLE, TN 37209-2916
(615) 939-7029

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
TN
347C00000X
Private Vehicle
Primary
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
TD533109653
TN
Enumeration date
02/26/2020
Last updated
03/11/2020
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