Most Relevant Information
Provider Data
| NPI Number: | 1003583360 |
| Provider Name: | KENDRA TATE-BLAYLOCK |
| Entity Type: | Individual |
| Taxonomy Code: | 376K00000X |
| Specialty: | Nurse's Aide |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/25/2021 |
| Last Updated: | 08/25/2021 |
Provider Practice Location
2146 FRAYSER BLVD
MEMPHIS
TN
381275755
Practice Location Phone/Fax
| Phone: | 9013024361 |
| Fax: | 8653420121 |
Provider Mailing Location
1923 SULPHUR SPRINGS RD
MORRISTOWN
TN
378135654
Provider Mailing Phone/Fax
| Phone: | 4233179344 |
| Fax: | 4237142355 |