Individual
TINA RICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
674 E MAIN ST, HENDERSONVILLE, TN 37075-2680
(615) 824-4552
Mailing address
109 HARRIS LN APT 10, GALLATIN, TN 37066-8584
(615) 473-6462
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
OTA0000002004
TN
Other
Enumeration date
05/22/2014
Last updated
05/22/2014
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