Individual
LAKINA BOUIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2502 MOUNT MORIAH RD, A150, MEMPHIS, TN 38115-1515
(504) 223-4969
Mailing address
2502 MOUNT MORIAH RD, A150, MEMPHIS, TN 38115-1515
(504) 223-4969
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1000000018189
TN
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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