Individual
MRS. MIRANDA DANIELLE VANDERGRIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
921 E 3RD ST, CHATTANOOGA, TN 37403-2102
(423) 209-8050
Mailing address
2905 CRESCENT CIR, CHATTANOOGA, TN 37407-1323
(423) 304-7491
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN0000056631
TN
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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