Individual
MILDRED FAYE ROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NA
Contact information
Practice address
131 S WEBB AVE, CROSSVILLE, TN 38555-8452
(931) 484-6196
Mailing address
131 S WEBB AVE, CROSSVILLE, TN 38555-8452
(931) 484-6196
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
TN
Other
Enumeration date
12/03/2008
Last updated
07/21/2022
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