Individual
VICKY SISONGKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 W BURTON ST, MURFREESBORO, TN 37130-3657
(615) 898-7880
Mailing address
100 W BURTON ST, MURFREESBORO, TN 37130-3657
(615) 898-7880
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
000022517
TN
Other
Enumeration date
08/24/2018
Last updated
08/24/2018
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