Individual
REHANA SOOMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4330 MAYNARDVILLE HWY, MAYNARDVILLE, TN 37807-3618
(865) 992-3849
(865) 992-5166
Mailing address
6350 W A J HWY, DEPARTMENT 100, TALBOTT, TN 37877-8065
(800) 355-3565
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN167265
TN
Other
Enumeration date
11/04/2011
Last updated
11/04/2011
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