LAKEN LEEANN CHISM

CORDOVA, TN
NPI1720696719
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X 
(Licence: TN  RBT-18-72069)
Enumeration Date2020-07-16
Last Update Date2020-07-16
Business Address
LAKEN LEEANN CHISM RBT
8500 WALNUT GROVE RD
CORDOVA, TN 38018-7392
Phone number: 662-610-4087
Mailing Address
LAKEN LEEANN CHISM RBT
6889 WYTHAM DR
MEMPHIS, TN 38119-8422
Phone number: 662-610-4087
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