Individual
STEPHANIE RENEE BLEDSOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
4062 HIXSON PIKE, CHATTANOOGA, TN 37415-3110
(423) 877-3568
(423) 803-4791
Mailing address
3641 CUSCOWILLA TRL, CHATTANOOGA, TN 37415-4816
(423) 315-6478
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
0000040503
TN
Other
Enumeration date
04/10/2020
Last updated
04/10/2020
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