Individual
PHYLLIS DENISE MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2285 N ROYAL ST, JACKSON, TN 38305-8421
(731) 298-9465
Mailing address
2285 N ROYAL ST, JACKSON, TN 38305-8421
(731) 298-9465
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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