Individual
JUAN PABLO ESTRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1020 MCARTHUR ST, MANCHESTER, TN 37355-2453
(931) 954-1400
(931) 954-1550
Mailing address
5141 VIRGINIA WAY STE 350, BRENTWOOD, TN 37027-2319
(630) 519-6543
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
65696
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2017
Last updated
04/07/2023
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