Individual
ALICIA RENEE' PLUNKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9622 CEDAR MIST CV E, CORDOVA, TN 38016-2306
(901) 826-4306
Mailing address
9622 CEDAR MIST CV E, CORDOVA, TN 38016-2306
(901) 826-4306
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
TN
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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