Individual
MISS RONDA LEE BOHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
215 OAK ST, LIVINIGSTON, TN 38570
(931) 823-5517
(931) 823-3852
Mailing address
215 OAK ST, LIVINIGSTON, TN 38570
(931) 823-5517
(931) 823-3852
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH5915
TN
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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