Individual
OLIVIA ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 ADAMS ST, TRENTON, TN 38382-3602
(731) 420-3223
Mailing address
120 ADAMS ST, TRENTON, TN 38382-3602
(731) 420-3223
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
98600
TN
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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