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Individual

TAMMY YOUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
425 CUMBERLAND ST, CHATTANOOGA, TN 37404-1909
(423) 698-0802
(423) 697-1752
Mailing address
425 CUMBERLAND ST, CHATTANOOGA, TN 37404-1909
(423) 698-0802
(423) 697-1752

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN0000076137
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000076137
LPN
TN
Enumeration date
07/30/2012
Last updated
07/30/2012
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