Individual
RAIZA CARMENATE-NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD, CCC-A
Contact information
Practice address
1711 S JEFFERSON AVE, COOKEVILLE, TN 38506-5581
(931) 854-9499
Mailing address
PO BOX 804, SPARTA, TN 38583-0804
(813) 545-9100
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
07/12/2021
Last updated
08/09/2024
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