Individual
MRS. TINA MARIE BOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
800 PARKS ST, MANCHESTER, TN 37355-2482
(931) 723-5134
(931) 723-5148
Mailing address
1206 WOODLAND ST, TULLAHOMA, TN 37388-3043
(931) 455-2218
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN0000116027
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4289
PROVIDER ID
TN
Enumeration date
03/05/2007
Last updated
07/08/2007
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