Individual
DINEKA Y THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
707 W RAINES RD, MEMPHIS, TN 38109-4337
(901) 205-8656
Mailing address
4126 BRIDGERS DR, MEMPHIS, TN 38128-1366
(901) 205-8656
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
TN
Other
Enumeration date
12/02/2019
Last updated
12/02/2019
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