Individual
KARISSA MALLEAH COCKERHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
4825 TROUSDALE DR STE 209, NASHVILLE, TN 37220-1307
(615) 942-0520
Mailing address
131 ENTERPRISE RD, JOHNSTOWN, NY 12095-3326
(615) 942-0520
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
995
TN
Other
Enumeration date
03/03/2022
Last updated
03/03/2022
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