Individual
TINA MAURICIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3469 NEW HIGHWAY 68, MADISONVILLE, TN 37354-5148
(423) 442-3993
(423) 442-5324
Mailing address
3469 NEW HIGHWAY 68, MADISONVILLE, TN 37354-5148
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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