Individual
ALLAN SRILOUANGKHOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
231 EISENHOWER DR, NASHVILLE, TN 37211-4001
(615) 569-3196
Mailing address
231 EISENHOWER DR, NASHVILLE, TN 37211-4001
(615) 569-3196
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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