Individual
FABEIONIA N STORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 GLENWOOD DR, CHATTANOOGA, TN 37404-1705
(423) 320-3904
Mailing address
100 GLENWOOD DR, CHATTANOOGA, TN 37404-1705
(423) 320-3904
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
0152160
TN
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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