Individual
MISS REBECCA LEE REDMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
40 CARROLL ST, MC KENZIE, TN 38201-1736
(931) 842-0822
Mailing address
40 CARROLL ST, MC KENZIE, TN 38201-1736
(931) 842-0822
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
2538
TN
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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