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Individual

MS. WILMA RUTH PRINCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
566 BELL RD, ANTIOCH, TN 37013
(615) 365-7810
(615) 467-6671
Mailing address
PO BOX 488, ANTIOCH, TN 37011-0488
(615) 365-7810
(615) 467-6671

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0978
TN

Other

Enumeration date
04/14/2008
Last updated
04/14/2008
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