Individual
JALESA PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
60 SHILOH RD, GREENEVILLE, TN 37745-0595
(423) 636-7317
Mailing address
530 MOUNT ZION RD NW, GEORGETOWN, TN 37336-4546
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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