Individual
MRS. MORGAN REVOIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
709 DEERLICK RD, PINEY FLATS, TN 37686-3824
(423) 754-1401
Mailing address
709 DEERLICK RD, PINEY FLATS, TN 37686-3824
(423) 754-1401
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
VA
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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