Individual
MARIA E AMOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3005 RIVERDALE RD, GERMANTOWN, TN 38138-8764
(901) 759-1382
Mailing address
3005 RIVERDALE RD, GERMANTOWN, TN 38138-8764
(901) 759-1382
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
1964
TN
Other
Enumeration date
12/14/2010
Last updated
12/14/2010
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