Individual
LATONYA SALLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1921 RANSOM PL, NASHVILLE, TN 37217-3841
(901) 517-8377
Mailing address
1921 RANSOM PL, NASHVILLE, TN 37217-3841
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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