Individual
WENDY CAROL SAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
403 E G ST, ELIZABETHTON, TN 37643-3288
(423) 543-2521
(423) 543-7348
Mailing address
1541 HIGHWAY 91, ELIZABETHTON, TN 37643-7513
(423) 292-2355
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
70177
TN
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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