Individual
MARYBELLE WALDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHIROPRACTOR DC
Contact information
Practice address
450 N MAIN ST, SUITE 2, JELLICO, TN 37762-2136
(423) 372-0000
(423) 372-0000
Mailing address
450 N. MAIN ST., SUITE 2, JELLICO, TN 37762
(423) 372-0000
(423) 372-0000
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2181
TN
111N00000X
Chiropractor
5048
KY
Other
Enumeration date
06/21/2007
Last updated
09/09/2011
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