Individual
VANESSA PROFIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4301 WILSON ST, FORT SILL, OK 73503-4472
(240) 688-2490
Mailing address
171 WALLACE BLVD APT A16, CLARKSVILLE, TN 37042-8001
(240) 688-2490
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
Other
Enumeration date
01/03/2019
Last updated
07/16/2024
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