Individual
TIA N GLOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
874 UNION AVE RM 325, MEMPHIS, TN 38103-3514
(612) 890-1448
Mailing address
874 UNION AVE RM 325, MEMPHIS, TN 38103-3514
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
390200000X.
TN
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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