Individual
LYQUALA BUFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6095 APPLE TREE DR, MEMPHIS, TN 38115-8600
(901) 590-6662
(901) 684-0098
Mailing address
PO BOX 16822, MEMPHIS, TN 38186-0822
(901) 590-6662
(901) 684-0098
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
07/09/2020
Last updated
07/09/2020
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