Individual
MATILDA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2883 BASKIN ST, MEMPHIS, TN 38127-7705
(901) 495-3857
Mailing address
2883 BASKIN ST, MEMPHIS, TN 38127-7705
(901) 495-3857
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
1000000030557
TN
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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