Individual
DEDREA ATTAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
330 PAGEANT LN, CLARKSVILLE, TN 37040-3854
(931) 648-5747
Mailing address
3864 MACKENZIE DR, CLARKSVILLE, TN 37042-8640
(270) 839-8624
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
322770
TX
Other
Enumeration date
01/27/2016
Last updated
01/27/2016
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