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Individual

ERICA TULLISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7617 GLEN CREEK LN, MEMPHIS, TN 38125-4653
(901) 218-6151
(901) 369-4912
Mailing address
7617 GLEN CREEK LN, MEMPHIS, TN 38125-4653
(901) 218-6151
(901) 369-4912

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
374T00000X
Religious Nonmedical Nursing Personnel
Primary
140189
TN

Other

Enumeration date
01/01/2017
Last updated
01/01/2017
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