LACONNA MARYE WHITTAKER

BRENTWOOD, TN
NPI1427368570
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: TN  LPN0000052463)
Enumeration Date2010-10-07
Last Update Date2010-10-07
Business Address
LACONNA MARYE WHITTAKER LPN
750 OLD HICKORY BLVD BLDG 1 SUITE 190
BRENTWOOD, TN 37027-4528
Phone number: 615-661-7594
Mailing Address
LACONNA MARYE WHITTAKER LPN
432 CARL MILLER DR
ANTIOCH, TN 37013-4408
Phone number: 615-750-3880
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