Individual
SHAUNDRA LASHAE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1378 RIDGEWAY ST, MEMPHIS, TN 38106-4726
(901) 254-4230
Mailing address
1378 RIDGEWAY ST, MEMPHIS, TN 38106-4726
(901) 254-4230
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
82-4166790
TN
Other
Enumeration date
02/05/2018
Last updated
06/16/2018
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