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Individual

MRS. TEARA FANAY PITTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.C.T.

Contact information

Practice address
601 HIGHWAY 52 BYP E, LAFAYETTE, TN 37083-1009
(615) 666-2142
(615) 666-6153
Mailing address
601 HIGHWAY 52 BYP E, LAFAYETTE, TN 37083-1009
(615) 666-2142
(615) 666-6153

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
00133529
TN

Other

Enumeration date
09/22/2010
Last updated
09/22/2010
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