Individual
JADA ALIYAS HOLDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9121 HUNDLEY RD, CHATTANOOGA, TN 37416-1518
(423) 402-6221
Mailing address
9121 HUNDLEY RD, CHATTANOOGA, TN 37416-1518
(423) 402-6221
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
MD35942
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD35942
—
TN
Enumeration date
10/10/2022
Last updated
10/10/2022
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