Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251H1200X | Hand | 118 | TN |
NPI | 1477600633 |
---|---|
Provider Name | Mrs. Adele M. Vookles |
First Address | Memphis, TN 38117-3519 |
Second Address | Memphis, TN 38117-5720 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2007 |
Last Update Date | 08/07/2007 |