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Desirae Elaine Gammichia

Case Manager/Care Coordinator in Knoxville, TN. Individual provider (NPI-1).

NPI number1164032694
StatusActive
Last updated in NPPESAug 10, 2020

Details

NPI
1164032694
Entity type
Individual (NPI-1)
Name
Desirae Elaine Gammichia
Sex
Female
Sole proprietor
No
Enumeration date
Aug 10, 2020
Certification date
Aug 10, 2020
Last updated
Aug 10, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

2455 Sutherland Ave Bldg A
Knoxville, TN 37919-2355

Phone 865-544-5000

Mailing address

201 W Springdale Ave
Knoxville, TN 37917-5158

Phone 865-637-9711

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