Individual
JASON RIEBEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 MOUNTIAN VIEW, BELL BUCKLE, TN 37020
(615) 962-4238
Mailing address
101 MOUNTIAN VIEW ROAD, BELL BUCKLE, TN 37020
(615) 962-4238
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN0000073184
TN
Other
Enumeration date
10/30/2013
Last updated
10/30/2013
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