Individual
TABITHA REVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4721 TROUSDALE DR STE 206, NASHVILLE, TN 37220-1372
(615) 637-7009
Mailing address
4721 TROUSDALE DR STE 206, NASHVILLE, TN 37220-1372
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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