Individual
MS. JUANITA KAY LOUTHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
620 DAVIS DR, NEW TAZEWELL, TN 37825-2152
(423) 626-4291
(423) 626-2525
Mailing address
417 MELODY LN, NEW TAZEWELL, TN 37825-6420
(423) 626-0402
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN0000110286
TN
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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