Individual
DEJYITNU A FANTAYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
937 WHITTMORE DR, NOLENSVILLE, TN 37135-2915
(615) 668-8578
Mailing address
937 WHITTMORE DR, NOLENSVILLE, TN 37135-2915
(615) 668-8578
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
LPN0000085984
TN
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/27/2023
Last updated
01/02/2024
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