Individual
TINA DARLENE BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1755 PARR AVE, DYERSBURG, TN 38024-2004
(731) 285-7311
(731) 286-2527
Mailing address
1755 PARR AVE, DYERSBURG, TN 38024-2004
(731) 285-7311
(731) 286-2527
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
89854
TN
Other
Enumeration date
08/18/2017
Last updated
08/18/2017
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