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Individual

RODRIGUEZ BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
200 JEFFERSON AVE, MEMPHIS, TN 38103-2328
(901) 860-1885
Mailing address
8486 FRIEDEN TRL, MEMPHIS, TN 38125-3348
(901) 860-1885

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
079487198
TN
174200000X
Meals Provider
253Z00000X
In Home Supportive Care Agency
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
03/15/2022
Last updated
03/15/2022
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