Individual
OTILIA SEALS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
295 SUMMAR DR, JACKSON, TN 38301-3905
(731) 421-6792
Mailing address
295 SUMMAR DR, JACKSON, TN 38301-3905
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
0000182968
TN
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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