Individual
MRS. JESSICA GLANDON GODBOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1924 ALCOA HWY, KNOXVILLE, TN 37920-1511
(865) 305-9220
Mailing address
1924 ALCOA HWY, KNOXVILLE, TN 37920-1511
(865) 305-9220
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
160669
TN
Other
Enumeration date
09/10/2012
Last updated
09/10/2012
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