Individual
SANDI MARDESA COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2379 BUFFALO RD, LAWRENCEBURG, TN 38464-4810
(931) 762-9406
(931) 766-1592
Mailing address
2379 BUFFALO RD, LAWRENCEBURG, TN 38464-4810
(931) 762-9406
(931) 766-1592
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0000063882
TN
Other
Enumeration date
05/04/2009
Last updated
05/04/2009
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