Individual
ISHMAEL CONWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8948 PERSIMMON TRL APT 304, MEMPHIS, TN 38125-4029
(843) 997-4145
Mailing address
8948 PERSIMMON TRL APT 304, MEMPHIS, TN 38125-4029
(843) 997-4145
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0000013148
TN
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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