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Individual

MRS. SHAUNA RACHELLE JONES-GRANDBERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DRIVER

Contact information

Practice address
940 MISSISSIPPI BLVD, 3898 DANTE COVE, MEMPHIS, TN 38126-5704
(901) 378-6639
(901) 948-2103
Mailing address
940 MISSISSIPPI BLVD, MEMPHIS, TN 38126-5704
(901) 378-6639
(901) 948-2103

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
070890852
TN

Other

Enumeration date
06/11/2013
Last updated
06/11/2013
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