Individual
MRS. CATHY CECILE CORDIAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
137 COMMERCE ST, SEVIERVILLE, TN 37862-3535
(423) 774-3916
Mailing address
1055 HIGHWAY 25 E, NEWPORT, TN 37821-8303
(864) 430-3667
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN0000025139
TN
Other
Enumeration date
10/07/2014
Last updated
10/07/2014
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