Individual
SHARANDI JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3316 EGYPT CENTRAL RD, MEMPHIS, TN 38128-1748
(901) 825-4802
Mailing address
3316 EGYPT CENTRAL RD, MEMPHIS, TN 38128-1748
(901) 825-4802
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
113000177
TN
376J00000X
Homemaker
Primary
113000177
TN
Other
Enumeration date
01/11/2013
Last updated
01/11/2013
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