Individual
MRS. MOLLIE AVANAH MAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD LDN
Contact information
Practice address
1100 ENGLAND DR, COOKEVILLE, TN 38501-0924
(931) 528-7531
Mailing address
1100 ENGLAND DR, COOKEVILLE, TN 38501-0924
(931) 528-7531
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
TN
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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