Individual
KANISHIA CHARISSE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4225 BACON ST, MEMPHIS, TN 38128-2043
(901) 230-8154
Mailing address
4225 BACON ST, MEMPHIS, TN 38128-2043
(901) 230-8154
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
03/26/2019
Last updated
03/26/2019
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