Individual
FRANCIS BRENT MALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
109 GREYWOOD PL, OAK RIDGE, TN 37830-5655
(865) 317-5007
Mailing address
PO BOX 1098, LOUDON, TN 37774-1898
(865) 317-5007
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
TN
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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