AMANDA JO TACKITT

MARTIN, TN
NPI1881035962
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: TN  57926)
Enumeration Date2013-07-17
Last Update Date2013-07-17
Business Address
-- AMANDA JO TACKITT LPN
920 UNIVERSITY ST
MARTIN, TN 38237-1605
Phone number: 931-588-5829
Mailing Address
-- AMANDA JO TACKITT LPN
485 HUDSON SPRING RD
DRESDEN, TN 38225-1717
Phone number: 731-364-5616
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