Individual
MS. COLETTA RENA AVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6012 TALL WILLOW DR, MEMPHIS, TN 38141-7628
(901) 649-9598
Mailing address
6012 TALL WILLOW DR, MEMPHIS, TN 38141-7628
(901) 649-9598
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
TN
Other
Enumeration date
08/22/2025
Last updated
08/22/2025
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