Individual
HERBERT CANTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
207 W BLACKWELL ST, TULLAHOMA, TN 37388-3395
(931) 461-0290
Mailing address
211 WALNUT ST, DECHERD, TN 37324-3518
(931) 636-2604
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/19/2014
Last updated
05/19/2014
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