Individual
FELECIA ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
314 HYATTE RD, SODDY DAISY, TN 37379-4006
(423) 602-0108
Mailing address
314 HYATTE RD, SODDY DAISY, TN 37379-4006
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
103407
TN
Other
Enumeration date
08/15/2025
Last updated
08/15/2025
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