Individual
MARANDA RAINS VECCHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
345 LAKE ANNE RD, WOODBURY, TN 37190-5723
(615) 653-7002
Mailing address
345 LAKE ANNE RD, WOODBURY, TN 37190-5723
(615) 653-7002
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6194
TN
Other
Enumeration date
08/22/2024
Last updated
10/07/2024
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