Individual
REBECCA LEIGH MICHEL HAMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2116 FORT HENRY DR, KINGSPORT, TN 37664-3604
(334) 470-9195
Mailing address
2116 FORT HENRY DR, KINGSPORT, TN 37664-3604
(334) 470-9195
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
242751
TN
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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