Individual
CHRISTOPHER RICHARD MADEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
420 MILLHOUSE RD, BELL BUCKLE, TN 37020-4201
(931) 389-6212
Mailing address
484 MILLHOUSE RD, BELL BUCKLE, TN 37020-4201
(931) 703-9701
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
73472
TN
Other
Enumeration date
12/28/2009
Last updated
12/28/2009
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