Individual
EMILIO COUSIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
555 DONNA DR, CLARKSVILLE, TN 37042-6042
(931) 278-2194
Mailing address
555 DONNA DR, CLARKSVILLE, TN 37042-6042
(931) 278-2194
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
1000000019310
TN
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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