Individual
MARIA REGIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
701 COUNTY SERVICES DR, COOKEVILLE, TN 38501-4338
(931) 528-2531
(931) 528-5088
Mailing address
701 COUNTY SERVICES DR, COOKEVILLE, TN 38501-4338
(931) 528-2531
(931) 528-5088
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN0000082695
TN
Other
Enumeration date
01/23/2017
Last updated
01/23/2017
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