Individual
ELIZABETH GRACE ESCOLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
541 MATT EDMOND RD, HARRIMAN, TN 37748-3430
(865) 900-6714
Mailing address
541 MATT EDMOND RD, HARRIMAN, TN 37748-3430
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
244974
TN
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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