Individual
MS. GWENDOLYN E BLAYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
90 YUM YUM RD, SOMERVILLE, TN 38068-4541
(901) 435-5243
(901) 465-5245
Mailing address
PO BOX 188, SOMERVILLE, TN 38068-0188
(901) 465-5243
(901) 465-5245
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
77274
TN
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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