Individual
YIGREM ENGIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
119 RACINE ST STE 103, MEMPHIS, TN 38111-2729
(901) 239-4105
Mailing address
119 RACINE ST STE 103, MEMPHIS, TN 38111-2729
(901) 239-4105
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
089714532
TN
Other
Enumeration date
08/14/2017
Last updated
07/21/2022
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