Individual
SUSAN SAMANTHA CAPORINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
118 BIGGS RD, COTTONTOWN, TN 37048-4633
(615) 285-0201
Mailing address
1001 BANKS DR, GREENBRIER, TN 37073-4780
(615) 643-0918
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN0000070079
TN
Other
Enumeration date
11/08/2007
Last updated
11/08/2007
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