Individual
MRS. LAURIE A MALYAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
JAMES H. QUILLEN VAMC, NUTRITION AND FOOD SERVICES 120, MOUNTAIN HOME, TN 37684
(423) 926-1171
(423) 979-3402
Mailing address
4096 GREENWOOD DR, JONESBOROUGH, TN 37659-6251
(423) 753-5854
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0000000898
TN
Other
Enumeration date
05/02/2006
Last updated
01/16/2013
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