IAN MALL

OOLTEWAH, TN
NPI1144689456
Professional NameIAN MALL
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy364SH0200X Clinical Nurse Specialist Home Health
(Licence: TN  20836)
Enumeration Date2016-02-15
Last Update Date2016-02-15
Business Address
IAN MALL
9981 FORREST DR
OOLTEWAH, TN 37363-8300
Phone number: 423-362-8192
Mailing Address
IAN MALL
9981 FORREST DR
OOLTEWAH, TN 37363-8300
Phone number: 423-362-8192
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