Individual
MRS. FONDA HORTENSIA WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CO
Contact information
Practice address
1030 JEFFERSON AVE # 121, MEMPHIS, TN 38104-2127
(901) 523-8990
Mailing address
1030 JEFFERSON AVE # 121, MEMPHIS, TN 38104-2127
(901) 523-8990
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C46660
TN
Other
Enumeration date
04/20/2010
Last updated
04/20/2010
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