Individual
MRS. VONITA MICHELLE GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
666 N HOLLYWOOD ST, MEMPHIS, TN 38112-1814
(901) 505-7384
Mailing address
666 N HOLLYWOOD ST, MEMPHIS, TN 38112-1814
(901) 505-7384
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
72791070
TN
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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