Individual
MARIA LYNETTE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
Mailing address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2193
(901) 523-8990
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
1846
TN
Other
Enumeration date
11/19/2008
Last updated
11/19/2008
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