MIMOSA TRAVIS

MEMPHIS, TN
NPI1457920563
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: TN  27862)
Enumeration Date2021-06-22
Last Update Date2021-06-22
Business Address
MIMOSA TRAVIS FNP
2594 KIMBALL AVE
MEMPHIS, TN 38114-4301
Phone number: 901-596-0058
Mailing Address
MIMOSA TRAVIS FNP
2594 KIMBALL AVE
MEMPHIS, TN 38114-4301
Phone number: 901-596-0058
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