EZRA MAL FRY

CHATTANOOGA, TN
NPI1639882103
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence:   BACB874454)
Enumeration Date2022-12-29
Last Update Date2022-12-29
Business Address
EZRA MAL FRY
113 GOODSON AVE APT 17
CHATTANOOGA, TN 37405-4720
Phone number: 828-400-4478
Mailing Address
EZRA MAL FRY
113 GOODSON AVE APT 17
CHATTANOOGA, TN 37405-4720
Phone number: