Individual
PRINCE SHAKA MOMODU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
315 DEADERICK ST STE 1550, NASHVILLE, TN 37238-3003
(615) 554-2292
Mailing address
315 DEADERICK ST STE 1550, NASHVILLE, TN 37238-3003
(615) 554-2292
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/16/2023
Last updated
02/24/2024
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