Individual
BIANCA BRANCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4166 W BUFFORD ELLINGTON DR, MEMPHIS, TN 38111
(901) 314-7212
Mailing address
4166 W BUFFORD ELLINGTON DR, MEMPHIS, TN 38111
(901) 314-7212
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
274494466
TN
332B00000X
Durable Medical Equipment & Medical Supplies
274494466
TN
Other
Enumeration date
02/25/2013
Last updated
02/27/2013
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