Individual
WANDA COLLINS LEGRANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
140 DAMERON AVE, KNOXVILLE, TN 37917-6413
(865) 215-5950
Mailing address
12652 CLEAR RIDGE RD, KNOXVILLE, TN 37922-0617
(865) 675-6775
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
140720
TN
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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