Individual
MS. KANDY JOYCE PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
105 COOKTOWN RD, WILDER, TN 38589-1729
(931) 267-1502
Mailing address
105 COOKTOWN RD, WILDER, TN 38589-1729
(931) 267-1502
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
164W00000X
Licensed Practical Nurse
61772
TN
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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