Individual
DEVANNE MARIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4220 HARDING PIKE, NASHVILLE, TN 37205-2005
(620) 253-2300
Mailing address
1142 GENEIL LN, LA VERGNE, TN 37086-2572
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
177090
TN
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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