Individual
MISS SABRINA KATHLENE BRACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1498 BOANERGES CHURCH RD, OLD FORT, TN 37362-7028
(423) 457-0639
Mailing address
1498 BOANERGES CHURCH RD, OLD FORT, TN 37362-7028
(423) 457-0639
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
Primary
—
TN
Other
Enumeration date
11/29/2018
Last updated
11/29/2018
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