Individual
MONIQUA TOQUANA HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2574 FRAYSER BLVD, MEMPHIS, TN 38127-5829
(901) 302-4361
(865) 342-0121
Mailing address
1923 SULPHUR SPRINGS RD, MORRISTOWN, TN 37813-5654
(423) 317-9344
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
64137
TN
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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