Individual
MR. DANIEL JOHN MLEZIVA II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1203 MEMORIAL BLVD STE E, MURFREESBORO, TN 37129-2420
(615) 904-6490
Mailing address
1303 DERBY TRCE, NASHVILLE, TN 37211-7343
(920) 606-3145
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN0000190346
TN
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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