LIDEADERICK LAMAR GREGORY

MEMPHIS, TN
NPI1720859762
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163WP0808X Registered Nurse, Psych/Mental Health
(Licence: TN  239601)
Enumeration Date2024-01-09
Last Update Date2024-01-09
Business Address
LIDEADERICK LAMAR GREGORY
1030 JEFFERSON AVE
MEMPHIS, TN 38104-2127
Phone number: 901-523-8990
Mailing Address
LIDEADERICK LAMAR GREGORY
2537 PRINCETON AVE
MEMPHIS, TN 38112-2726
Phone number: 901-483-4889
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