Individual
MRS. LYNETTE MARY ROULIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4852 RAINER DR, OLD HICKORY, TN 37138-4129
(615) 504-7456
Mailing address
4852 RAINER DRIVE, OLD HICKORY, TN 37138-4129
(615) 504-7456
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/29/2012
Last updated
06/29/2012
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