Individual
RYLIE JAE MALATAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
555 MARRIOTT DR STE 315, NASHVILLE, TN 37214-5088
(615) 258-8400
Mailing address
114 HEMLOCK CT, OAKDALE, PA 15071-3054
(412) 295-4084
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/07/2021
Last updated
07/07/2021
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