Individual
KARLIE FAHLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5012 FRANCIS LANE, PEGRAM, TN 37143
(248) 660-3559
Mailing address
5012 FRANCIS LANE, PEGRAM, TN 37143
(248) 660-3559
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
218036
TN
Other
Enumeration date
11/23/2022
Last updated
11/23/2022
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