Individual
SHANIA SIEBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 E RAVINE RD, KINGSPORT, TN 37660-3814
(423) 245-9600
Mailing address
478 BRECKENRIDGE TRCE, KINGSPORT, TN 37663-2988
(816) 341-4236
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
TN
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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