Individual
CHALENCIA IDALIA NUNNALLY-RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1047 N BELVEDERE BLVD, MEMPHIS, TN 38107-3008
(662) 629-0703
Mailing address
1047 N BELVEDERE BLVD, MEMPHIS, TN 38107-3008
(662) 629-0703
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
338047
MS
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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