Individual
MRS. LEISHA ALLISON MARCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1265 INTERSTATE DR STE 101, COOKEVILLE, TN 38501-5198
(931) 783-1491
Mailing address
7000 DITTY RD, COOKEVILLE, TN 38506-6506
(423) 215-7766
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
8429
TN
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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