Rebecca Lee Redmond, LDO
Technician/Technologist, Optician in Mc Kenzie, TN. Individual provider (NPI-1).
NPI number1164072575
StatusActive
Last updated in NPPESSep 17, 2019
Details
- NPI
- 1164072575
- Entity type
- Individual (NPI-1)
- Name
- Miss Rebecca Lee Redmond
- Credential
- LDO
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 17, 2019
- Last updated
- Sep 17, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | 2538 | TN | Yes |
Practice location
40 Carroll StMc Kenzie, TN 38201-1736
Phone 931-842-0822
Mailing address
40 Carroll StMc Kenzie, TN 38201-1736
Phone 931-842-0822
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