Individual
BLONG VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1215 MEDICAL CENTER DR, SUITE 3200 SOUTH TOWER, NASHVILLE, TN 37232-0001
(615) 343-9284
Mailing address
1215 MEDICAL CENTER DR, SUITE 3200 SOUTH TOWER, NASHVILLE, TN 37232-0001
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1481
TN
Other
Enumeration date
09/24/2014
Last updated
09/24/2014
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