Individual
MARESA GRINES HUGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6939 7TH RD, BARTLETT, TN 38135-2582
(901) 486-9969
Mailing address
6939 7TH RD, BARTLETT, TN 38135-2582
(901) 486-9969
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
76931
TN
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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