Individual
MRS. LUCRETIA LATRICE HARDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
4711 CASANN AVE, MEMPHIS, TN 38128-4820
(901) 570-7861
Mailing address
4711 CASANN AVE, MEMPHIS, TN 38128-4820
(901) 570-7861
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0000168682
TN
164W00000X
Licensed Practical Nurse
OOOOO50827
TN
Other
Enumeration date
03/30/2010
Last updated
03/30/2010
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