Individual
ANTOINETTE WAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2321 LONGSTREET DR, MEMPHIS, TN 38114-2209
(901) 268-8145
Mailing address
2321 LONGSTREET DR, MEMPHIS, TN 38114-2209
(901) 268-8145
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
161003201
TN
Other
Enumeration date
06/02/2016
Last updated
06/02/2016
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