Individual
HIPOLITO TREVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
921 E 3RD ST, CHATTANOOGA, TN 37403-2102
(423) 209-8010
Mailing address
10729 LONNIE LN, OOLTEWAH, TN 37363-8304
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN0000137598
TN
Other
Enumeration date
08/13/2007
Last updated
08/13/2007
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