Individual
HAILEY MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
219 PRINCETON RD, JOHNSON CITY, TN 37601-2052
(423) 975-2200
(423) 975-2210
Mailing address
219 PRINCETON RD, JOHNSON CITY, TN 37601-2052
(423) 975-2200
(423) 975-2210
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN0000082501
TN
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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