Individual
MS. CATREAL N ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
166 HARRIS CV, COLLIERVILLE, TN 38017-2514
(901) 461-9752
Mailing address
944 BOULDER DR, SOUTHAVEN, MS 38671-3804
(901) 335-4831
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
050365950711E
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0
—
TN
Enumeration date
07/19/2019
Last updated
07/19/2019
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