Individual
SABREANA KINCADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
711 JEFFERSON AVE, MEMPHIS, TN 38105-5003
(901) 448-6580
Mailing address
855 CHARTER OAK DR, SOUTHAVEN, MS 38671-3329
(901) 438-4142
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
09/06/2013
Last updated
09/06/2013
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