SOPHEAP PHATHANAK

LA VERGNE, TN
NPI1598130882
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TN  20504)
Enumeration Date2015-12-11
Last Update Date2015-12-11
Business Address
Mrs. SOPHEAP PHATHANAK NP-C
3508 MARTINS WOODS LN
LA VERGNE, TN 37086-4048
Phone number: 615-481-2474
Mailing Address
Mrs. SOPHEAP PHATHANAK NP-C
3508 MARTINS WOODS LN
LA VERGNE, TN 37086-4048
Phone number: 615-481-2474
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