KATY FUQUA FUQUA

BRISTOL, TN
NPI1538730304
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: TN  0000002180)
Enumeration Date2021-07-02
Last Update Date2024-07-08
Business Address
KATY FUQUA FUQUA
1019 FLORIDA AVE
BRISTOL, TN 37620-4015
Phone number: 615-513-8795
Mailing Address
KATY FUQUA FUQUA
1019 FLORIDA AVE
BRISTOL, TN 37620-4015
Phone number: 615-513-8795
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