Individual
GLORIA J PEGUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7117 MILLERS GLEN WAY, MEMPHIS, TN 38125-4179
(901) 831-2423
Mailing address
7117 MILLERS GLEN WAY, MEMPHIS, TN 38125-4179
(901) 831-2423
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P316596
MS
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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