Individual
TRESA VESPIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
553 HEIDEL RD, WARTBURG, TN 37887
(423) 319-9084
Mailing address
553 HEIDEL RD, WARTBURG, TN 37887
(423) 319-9084
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
79313
TN
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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