Individual
JESSICA MOTTA JUEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
113 HARBOR TOWN SQ STE 201, MEMPHIS, TN 38103-8890
(901) 591-0372
Mailing address
113 HARBOR TOWN SQ STE 201, MEMPHIS, TN 38103-8890
(901) 591-0372
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
2514
TN
Other
Enumeration date
03/31/2015
Last updated
03/31/2015
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