Individual
WANDA NANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 SPARTA ST, TN,DEPT.OF HEALTH, MC MINNVILLE, TN 37110-1301
(931) 473-8468
Mailing address
5126 OLD STATE HIGHWAY 111, SPENCER, TN 38585-4642
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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