Individual
DELECA LATRICE REYNOLDS-BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 EDGE O LAKE DR, ANTIOCH, TN 37013-5755
(615) 645-1892
Mailing address
2401 EDGE O LAKE DR, ANTIOCH, TN 37013-5755
(615) 645-1892
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10608
TN
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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