Individual
SHARON STOVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1402 EASON AVE, MEMPHIS, TN 38116-8929
(901) 530-8707
Mailing address
1402 EASON AVE, MEMPHIS, TN 38116-8929
(901) 530-8707
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
24000004178
TN
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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