Individual
KATHRYN BRUCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9527 W RIDGE TRAIL RD, SODDY DAISY, TN 37379-4018
(423) 209-5490
Mailing address
7723 SELCER RD, HIXSON, TN 37343-1938
(423) 598-9272
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
195191
TN
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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