Individual
DAVINA LEAH REPPOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1204 E MYRTLE AVE, JOHNSONCITY, TN 37601
(423) 218-7283
Mailing address
1204 E MYRTLE AVE, JOHNSONCITY, TN 37601
(423) 218-7283
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
10/31/2016
Last updated
10/31/2016
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