Individual
RAVEN MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9154 BLUFFTOP CV, CORDOVA, TN 38018-7684
(901) 859-9830
Mailing address
1665 BONNIE LN, 106, CORDOVA, TN 38016-0548
(901) 800-2770
(901) 800-2771
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
16331
TN
3747A0650X
Attendant Care Provider
16331
TN
3747P1801X
Personal Care Attendant
16331
TN
376J00000X
Homemaker
16331
TN
Other
Enumeration date
03/25/2015
Last updated
07/28/2015
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