Individual
TAMIKA MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1848 ANNALEE DR, ANTIOCH, TN 37013-3916
(615) 299-3416
Mailing address
1848 ANNALEE DR, ANTIOCH, TN 37013-3916
(615) 299-3416
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
04/12/2022
Last updated
01/18/2023
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