Individual
MARQUITA SHUNTA PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4656 MILL LANDING CV, MEMPHIS, TN 38116-7457
(901) 315-8954
Mailing address
4656 MILL LANDING CV, MEMPHIS, TN 38116-7457
(901) 315-8954
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467038539
HOME HEALTH CARE
TN
Enumeration date
03/19/2021
Last updated
05/13/2021
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