Fonda Hortensia Webb | Memphis, TN • PECOS Search

Fonda Hortensia Webb

Specialist

Other Service Providers

1030 Jefferson Ave # 121, Memphis, TN 38104-2127

PECOS Enrollment

Based on the most recent information from CMS, provider Fonda Hortensia Webb does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1508182262
Provider Type
Individual
Full Name
Webb, Fonda Hortensia
Title
Mrs.
Credential
CO

Gender
Female
Sole Proprietor
No
Enumeration Date
4/20/2010
Last Updated
4/20/2010

Contact Information

Practice Location

1030 Jefferson Ave # 121, Memphis, TN 38104-2127

Unlisted Fax

Mailing Location

1030 Jefferson Ave # 121, Memphis, TN 38104-2127

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 174400000X Primary	Description Specialist Other Service Providers	License C46660 Tennessee