Individual
DEYONNA J'NAE LANSDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7004 CLARISSA DR, OOLTEWAH, TN 37363-9175
(423) 503-8865
Mailing address
7004 CLARISSA DR, OOLTEWAH, TN 37363-9175
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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