Individual
VICKI GAYLE WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 N MAIN ST, TENNESSEE RIDGE, TN 37178-4003
(931) 721-3312
Mailing address
1330 N MAIN ST, TENNESSEE RIDGE, TN 37178-4003
(931) 721-3312
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
03/03/2007
Last updated
07/08/2007
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