MELLISSA KAY SHAW

JOHNSON CITY, TN
NPI1659690436
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: TN  75455)
Enumeration Date2010-05-19
Last Update Date2010-05-19
Business Address
-- MELLISSA KAY SHAW LPN
900 BUFFALO ST
JOHNSON CITY, TN 37604-6720
Phone number: 423-232-4130
Mailing Address
-- MELLISSA KAY SHAW LPN
1167 SPRATLIN PARK DR
GRAY, TN 37615-6205
Phone number: 423-467-3600
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