Individual
AQUEYA GERINAE EARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
756 CARPENTER ST, MEMPHIS, TN 38112-2316
(901) 430-6813
Mailing address
756 CARPENTER ST, MEMPHIS, TN 38112-2316
(901) 430-6813
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
213509
TN
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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