IDA JOHNICAN

CORDOVA, TN
NPI1134732290
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172A00000X Driver
Enumeration Date2020-08-28
Last Update Date2020-08-28
Business Address
IDA JOHNICAN
491 S SANGA RD
CORDOVA, TN 38018-7686
Phone number: 901-230-4309
Mailing Address
IDA JOHNICAN
491 S SANGA RD
CORDOVA, TN 38018-7686
Phone number: 901-230-4309
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