Individual
HEATHER LYNN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
213 N CUMBERLAND ST, LEBANON, TN 37087-2718
(615) 436-3696
Mailing address
213 N CUMBERLAND ST, LEBANON, TN 37087-2718
(615) 436-3696
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
13677494
TN
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
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