Individual
DEANGELO FAIRLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3476 AGAPE RD, MEMPHIS, TN 38128-5210
(901) 304-9249
Mailing address
3476 AGAPE RD, MEMPHIS, TN 38128-5210
(901) 304-9249
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
Primary
—
—
Other
Enumeration date
06/21/2021
Last updated
06/21/2021
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