Individual
DOMINIQUE ZINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2843 STAGE CENTER DR STE 1, BARTLETT, TN 38134
(901) 881-5723
(662) 468-6040
Mailing address
1397 S COOPER ST, MEMPHIS, TN 38114-3012
(901) 881-5723
(888) 478-9659
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H445609
—
TN
05
—
Q017581
—
TN
Enumeration date
04/19/2011
Last updated
10/07/2020
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