Individual
GABRIELE MACKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
Mailing address
739 LYDGATE RD, MEMPHIS, TN 38116-5418
(901) 487-7689
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0000235477
TN
Other
Enumeration date
04/13/2019
Last updated
04/13/2019
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