Search › Tennessee › 172A00000X

Ida Johnican

NPI 1134732290 · on the registry since 2020 · sole proprietor

Practice

Address
491 S Sanga Rd
Cordova, TN 38018
Phone
(901) 230-4309

Registry record

Primary taxonomy
172A00000X
172A00000X
Sex
Female
Record last updated
2020-08-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee