Provider First Line Business Practice Location Address:
ULPS
Provider Second Line Business Practice Location Address:
850 POPLAR AVE, BUILDING 2
Provider Business Practice Location Address City Name:
MEMPHIS
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
38105
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
901-287-5218
Provider Business Practice Location Address Fax Number:
901-287-5102
Provider Enumeration Date:
07/05/2023