Individual
MRS. TERESA ANNETTE BLANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9114 KAREN MILL CV, CORDOVA, TN 38016
(901) 303-2010
Mailing address
9114 KAREN MILL COVE, CORDOVA, TN 38016
(901) 303-2010
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
05/05/2016
Last updated
05/05/2016
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