Individual
MANSON WHEGBERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1821 14TH AVE N, NASHVILLE, TN 37208-1418
(615) 366-3152
Mailing address
1814 14TH AVE N, NASHVILLE, TN 37208-1419
(615) 400-3553
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
1000000019159
TN
Other
Enumeration date
11/01/2016
Last updated
11/18/2016
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