Individual
MONIKA JAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
178 MAPLE AVE, MOUNTAIN HOME, TN 37684
(423) 439-1000
Mailing address
6194 DOVECOTE LN, MEMPHIS, TN 38120-4065
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/17/2023
Last updated
03/17/2023
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