Individual
KEOSHA SALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6914 BRADY HILL DR, CORDOVA, TN 38018-7875
(901) 496-1964
Mailing address
6914 BRADY HILL DR, CORDOVA, TN 38018-7875
(901) 496-1964
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
280507
TN
Other
Enumeration date
05/27/2026
Last updated
05/27/2026
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