Individual
JANNNEKEE BURCHETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5292 BRADCLIFF ST, MEMPHIS, TN 38109-7504
(901) 415-4616
Mailing address
5292 BRADCLIFF ST, MEMPHIS, TN 38109-7504
(901) 415-4616
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
456784
TN
2471S1302X
Sonography Radiologic Technologist
Primary
164151
TN
Other
Enumeration date
08/21/2012
Last updated
08/21/2012
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