Individual
CARLENA LEILANI DANCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7305 CRESTHILL DR APT A3, KNOXVILLE, TN 37919-5914
(903) 539-9191
Mailing address
7305 CRESTHILL DR APT A3, KNOXVILLE, TN 37919-5914
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/23/2024
Last updated
01/27/2025
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