Individual
FANG LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
853 JEFFERSON AVE STE E102, MEMPHIS, TN 38103-2804
(901) 448-2531
(901) 448-4701
Mailing address
472 RANDALL DR, TROY, MI 48085-5529
(757) 214-8327
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/07/2021
Last updated
05/07/2021
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