Individual
LASAUNDRA EAFEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1413 ALBON CV, CORDOVA, TN 38016-6693
(901) 351-5226
Mailing address
PO BOX 452, COLLIERVILLE, TN 38027-0452
(901) 351-5226
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
29234
TN
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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