Individual
CARLOS ALVIDREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
705 GREER CT, MOUNT JULIET, TN 37122-7598
(615) 583-9678
Mailing address
705 GREER CT, MOUNT JULIET, TN 37122-7598
(615) 583-9678
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
00064240
TN
Other
Enumeration date
05/09/2011
Last updated
05/09/2011
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