DEDRE SUMIDA

HIXSON, TN
NPI1629493713
Professional NameDEIDRE BLOOM
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: TN  28047)
Additional Taxonomies208000000X Pediatrics
(Licence: CA  BB4317459)
Enumeration Date2014-02-26
Last Update Date2014-02-26
Business Address
Dr. DEDRE SUMIDA M.D.
2051B HAMILL RD STE 107
HIXSON, TN 37343-4092
Phone number: 423-877-4705
Mailing Address
Dr. DEDRE SUMIDA M.D.
2051B HAMILL RD STE 107
HIXSON, TN 37343-4092
Phone number: 423-877-4705