Individual
MISS VIOLET A. NEWBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPRS
Contact information
Practice address
940 BIGGS ST, MEMPHIS, TN 38108-3227
(901) 505-9121
Mailing address
940 BIGGS ST, MEMPHIS, TN 38108-3227
(901) 505-9121
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
000-2468
TN
Other
Enumeration date
07/30/2024
Last updated
08/02/2024
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