JOHN RANDOLPH IBANEZ

NASHVILLE, TN
NPI1740566603
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2011-10-24
Last Update Date2011-10-24
Business Address
-- JOHN RANDOLPH IBANEZ
1921 RANSOM PL
NASHVILLE, TN 37217-3841
Phone number: 615-279-6700
Mailing Address
-- JOHN RANDOLPH IBANEZ
2843 WELLINGTON PL
MURFREESBORO, TN 37128-4854
Phone number: 615-494-9988