Individual
CHELSEA MADISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSOM, COMT,CBS
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
7841
TN
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/18/2021
Last updated
08/26/2022
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