Individual
RYEN RAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
975 E 3RD ST, CHATTANOOGA, TN 37403-2173
(931) 436-5465
Mailing address
206 UNAKA ST, CHATTANOOGA, TN 37415-4139
(931) 436-5465
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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