Individual
CANDACE LASHAE KEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 W MAIN ST STE 2, MCMINNVILLE, TN 37110-2682
(931) 386-6300
Mailing address
101 W MAIN ST STE 2, MCMINNVILLE, TN 37110-2682
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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