Individual
LAJUANA GARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
793 FRAYSER DR, MEMPHIS, TN 38127-1413
(901) 491-0088
(901) 800-1829
Mailing address
793 FRAYSER DR, MEMPHIS, TN 38127-1413
(901) 491-0088
(901) 800-1829
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
1000000018261
TN
374U00000X
Home Health Aide
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013365030
—
TN
Enumeration date
05/31/2016
Last updated
10/10/2016
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