Individual
RAVEN PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4101 NORTHBRIDGE AVE, MEMPHIS, TN 38118-3921
(901) 270-1286
Mailing address
4101 NORTHBRIDGE AVE, MEMPHIS, TN 38118-3921
(901) 270-1286
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
—
—
171W00000X
Contractor
Primary
—
—
174400000X
Specialist
—
—
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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