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Individual

MS. SHARON TUNSTALL MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNA

Contact information

Practice address
2997 KNIGHT RD, MEMPHIS, TN 38118-3169
(901) 859-6252
Mailing address
2997 KNIGHT RD, MEMPHIS, TN 38118-3169
(901) 859-6252

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
111004435
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
111004435
TN
Enumeration date
09/27/2011
Last updated
09/27/2011
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