Individual
TINA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
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
163W00000X
Registered Nurse
Primary
0000070933
TN
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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