Individual
KENYA BRAGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3188 BLUEFIELD ST, MEMPHIS, TN 38128-4834
(901) 585-4762
Mailing address
3188 BLUEFIELD ST, MEMPHIS, TN 38128-4834
(901) 585-4762
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
159897
TN
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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