Individual
MALLORY KATE BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1295 ROGERS LN, LEBANON, TN 37087-7387
(615) 418-6783
Mailing address
1295 ROGERS LN, LEBANON, TN 37087-7387
(615) 418-6783
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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