Individual
LEYA GOUTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2861 BROAD AVE, MEMPHIS, TN 38112-2903
(901) 842-3161
Mailing address
557 S SANGA RD, CORDOVA, TN 38018-7687
(901) 600-3423
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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