Individual
REBECCA WENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
Mailing address
75 HAMPTON ST, CARY, IL 60013-1882
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3293
TN
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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