Individual
LAQUASHA L NEWSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3592 KNIGHT ARNOLD RD, MEMPHIS, TN 38118-2709
(901) 314-9428
Mailing address
4898 CHESTERWOOD CT, MEMPHIS, TN 38118-6433
(901) 314-9428
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q036792
—
TN
Enumeration date
11/08/2021
Last updated
11/08/2021
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