Individual
ANGELA K ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
921 E 3RD ST, CHATTANOOGA, TN 37403-2102
(423) 209-8050
Mailing address
7706 FARMWOOD LN, HARRISON, TN 37341-9631
(423) 326-3430
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN0000055946
TN
Other
Enumeration date
09/17/2007
Last updated
09/17/2007
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