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NPI Profile for BONTAYA CALVIN in MEMPHIS, TN.
A case manager who provides services for patients with prosthetics.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Prosthetics Case Management |
1744P3200X | |||
Prosthetist |
224P00000X | 56 | Individual Certified Prosthetist |
| NPI Number | 1982215778 |
|
| Status | Active | |
| Credentials | CERTIFIED HAIRLOSS | |
| Entity | Individual | |
| Enumeration date | 08/14/2020 | |
| Last updated | 08/14/2020 - About 6 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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BONTAYA CALVIN
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BONTAYA CALVIN, CERTIFIED HAIRLOSS