Individual
MALIYAH VILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
805 NASHVILLE HWY, COLUMBIA, TN 38401-2430
(931) 380-3065
Mailing address
6746 POLK LN, COLUMBIA, TN 38401-7908
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
0000079447
TN
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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