Individual
PHYLLIS PERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
292 MODDER AVE, MEMPHIS, TN 38109
(901) 690-3280
Mailing address
292 MODDER AVE, MEMPHIS, TN 38109
(901) 690-3280
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
11/26/2019
Last updated
11/26/2019
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