Individual
BREANNA JADE MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2725 KIRBY RD STE 11, MEMPHIS, TN 38119-8240
(901) 800-4645
Mailing address
2299 PIKE WOOD DR, GERMANTOWN, TN 38138-4624
(662) 590-6203
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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