Individual
MARCHANA HOLLIDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1967 LYDGATE CV, MEMPHIS, TN 38116-6021
(901) 649-3870
Mailing address
1967 LYDGATE CV, MEMPHIS, TN 38116-6021
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1502518140
TRICARE
TN
Enumeration date
09/06/2022
Last updated
09/06/2022
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