Individual
JENNY LEN HONG PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
623 S CUMBERLAND ST, LEBANON, TN 37087-5145
(615) 994-3989
Mailing address
1816 21ST AVE S, NASHVILLE, TN 37212-3706
(228) 313-2916
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1077
MS
152W00000X
Optometrist
Primary
3819
TN
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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