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Individual

TORNESHIA BOOTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5395 FOX PLAZA DR STE 101J, MEMPHIS, TN 38115-1516
(901) 591-5868
Mailing address
3251 DOTHAN ST, MEMPHIS, TN 38118-4624
(901) 591-5868

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
251E00000X
Home Health Agency
Primary
374U00000X
Home Health Aide

Other

Enumeration date
08/12/2019
Last updated
08/12/2019
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