Individual
CARMENCITA CABANERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
Mailing address
866 CYPRESS POND DR, COLLIERVILLE, TN 38017-2165
(901) 289-5383
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
0000158237
TN
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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