Individual
MISS MERCEDES CORRALIZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
332 FORESTAL DR APT 15, KNOXVILLE, TN 37918-1900
(865) 936-7658
Mailing address
332 FORESTAL DRIVE APT 15, KNOXVILLE, TN 37918
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
156156
TN
Other
Enumeration date
01/22/2015
Last updated
01/22/2015
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