Individual
MISS JESSICA MECOLE MARABLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
230 VENTURE CIR, NASHVILLE, TN 37228-1604
(615) 417-0474
Mailing address
469 PONDER PL APT 114, NASHVILLE, TN 37228-1921
(615) 554-9594
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
251B00000X
TN
Other
Enumeration date
04/27/2010
Last updated
04/27/2010
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