Individual
MS. KELLY JO BOMBARDIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 6TH AVE N, NASHVILLE, TN 37208-2650
(615) 460-4100
Mailing address
1805 CLUB PKWY, NASHVILLE, TN 37221-1944
(850) 428-1656
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/29/2013
Last updated
08/29/2013
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