TANISHA DANIELLE PUCKETT

CLARKSVILLE, TN
NPI1225549728
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1744P3200X Specialist, Prosthetics Case Management
Enumeration Date2017-10-24
Last Update Date2017-10-24
Business Address
TANISHA DANIELLE PUCKETT
913C TINY TOWN RD STE 114
CLARKSVILLE, TN 37042-4603
Phone number: 912-492-2233
Mailing Address
TANISHA DANIELLE PUCKETT
1571 EDGEWATER LN
CLARKSVILLE, TN 37043-1547
Phone number: 912-492-2233