Individual
MALEAH VICTORIA WASHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1114 FAIRGROUNDS CT, KINGSTON, TN 37763-2657
(865) 919-4783
(865) 674-4422
Mailing address
1114 FAIRGROUNDS CT, KINGSTON, TN 37763-2657
(865) 919-4783
(865) 674-4422
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
246088
TN
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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