Individual
DR. JOAQUINA ELIZABETH VIDES DE MONTOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1215 E COLLEGE ST, BROWNSVILLE, TN 38012-1656
(731) 772-3442
(731) 772-3662
Mailing address
1215 E COLLEGE ST, BROWNSVILLE, TN 38012-1656
(731) 772-3442
(731) 772-3662
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
41609
TN
207R00000X
Internal Medicine Physician
Primary
41609
TN
207RI0200X
Infectious Disease Physician
41609
TN
Other
Enumeration date
10/06/2006
Last updated
05/09/2022
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