Individual
NINA L DATTOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
721 HWY 46 S, DICKSON, TN 37055-2565
(615) 446-3797
Mailing address
1415 WHITE BLUFF RD, WHITE BLUFF, TN 37187-4830
(970) 589-0249
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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