Individual
RICKI ALEXIS STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4589 RHEA COUNTY HWY STE 300, DAYTON, TN 37321-6077
(423) 428-9550
Mailing address
4589 RHEA COUNTY HWY, DAYTON, TN 37321-6076
(423) 428-9550
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
95368
TN
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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