Individual
JONDA KAYE WALIZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
244 CHURCH ST, LYNNVILLE, TN 38472-3115
(919) 649-2695
Mailing address
929 E COMMERCE ST, LEWISBURG, TN 37091-3517
(931) 652-2762
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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