Individual
NDEMAFIA TUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 WILLIAMSBURG DR APT 614, HENDERSONVILLE, TN 37075-5782
(256) 652-0343
Mailing address
1 WILLIAMSBURG DR APT 614, HENDERSONVILLE, TN 37075-5782
(256) 652-0343
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
123973
MD
Other
Enumeration date
12/21/2018
Last updated
12/21/2018
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