Individual
KIMBERLY DAWN VANCURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
606 W HILLS DR, HARRIMAN, TN 37748-7406
(515) 491-7070
Mailing address
606 W HILLS DR, HARRIMAN, TN 37748-7406
(515) 491-7070
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN0000080912
TN
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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