Individual
JUDITH ANNE TESSEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
629 NUCKOLLS RD, BOLIVAR, TN 38008-1599
(731) 658-3388
Mailing address
629 NUCKOLLS RD, BOLIVAR, TN 38008-1599
(731) 658-3388
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
62446
TN
207Q00000X
Family Medicine Physician
A136409
CA
Other
Enumeration date
05/01/2013
Last updated
05/02/2025
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