Individual
TAMMY DENISE LEBLANC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 LANCER RD, KINGSPORT, TN 37660
(423) 915-6252
Mailing address
125 LANCER RD, KINGSPORT, TN 37660-2764
(423) 915-6252
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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