Individual
TONI WAYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 BLOUNTVILLE BYP, BLOUNTVILLE, TN 37617-4575
(423) 354-1043
Mailing address
1150 LEBANON RD, KINGSPORT, TN 37663-3254
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
040580
TN
Other
Enumeration date
09/26/2007
Last updated
09/26/2007
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