Individual
TOMANDRA BLACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4779 CASANN AVE, MEMPHIS, TN 38128-4822
(901) 572-0653
Mailing address
4779 CASANN AVE, MEMPHIS, TN 38128-4822
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
4501
TN
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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