Individual
MRS. DESIREE JUANITA ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
496 QUAIL CREST DR, COLLIERVILLE, TN 38017-1750
(617) 824-0421
Mailing address
3750 HACKS CROSS RD STE 102-304, MEMPHIS, TN 38125-2367
(617) 824-0421
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220006017
BUSINESS LICENSE
TN
05
—
220006017
—
TN
Enumeration date
09/16/2022
Last updated
03/20/2023
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