Individual
MISS HEATHER NICOLE SPAKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMA,NA
Contact information
Practice address
1401 SPARTA ST, MCMINNVILLE, TN 37110-1301
(931) 473-8468
Mailing address
1401 SPARTA ST, MCMINNVILLE, TN 37110-1301
(931) 473-8468
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
104806457
TN
Other
Enumeration date
08/16/2010
Last updated
08/16/2010
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