Individual
MR. CLARENCE MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2879 S MENDENHALL RD STE 1, MEMPHIS, TN 38115-2207
(901) 949-1148
(901) 260-2674
Mailing address
2879 S MENDENHALL RD STE 1, MEMPHIS, TN 38115-2207
(901) 949-1148
(901) 260-2674
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
L0000000017871
TN
Other
Enumeration date
07/29/2019
Last updated
07/29/2019
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