Individual
CANDACE ROCHELLE BIRDINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2415 WOODALE LN, NASHVILLE, TN 37207-3840
(615) 961-8217
Mailing address
2415 WOODALE LN, NASHVILLE, TN 37207-3840
(615) 961-8217
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
—
—
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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