Individual
TABITHA SAMARA CANTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3935 W RD, SIGNAL MOUNTAIN, TN 37377-3103
(423) 763-7377
Mailing address
3935 W RD, SIGNAL MOUNTAIN, TN 37377-3103
(423) 763-7377
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
205482
TN
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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