ALICIA DEIRTH

KINGSPORT, TN
NPI1225670128
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TN  APN0000025715)
Enumeration Date2019-10-11
Last Update Date2019-10-11
Business Address
ALICIA DEIRTH
2202 N JOHN B DENNIS HWY STE 100
KINGSPORT, TN 37660-5904
Phone number: 423-578-8500
Mailing Address
ALICIA DEIRTH
409 NEW CANTON RD
CHURCH HILL, TN 37642-4260
Phone number:
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