Individual
MISS JESSICA LEEANN KEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
1224 GAY ST, DANDRIDGE, TN 37725-4720
(865) 397-3444
(865) 397-6279
Mailing address
1224 GAY ST, PO BOX 280, DANDRIDGE, TN 37725-4720
(865) 397-3444
(865) 397-6279
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
0000026102
TN
Other
Enumeration date
09/08/2008
Last updated
09/08/2008
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