Individual
KAYLA DIANE CHARRIEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2615 LAKE RD, DYERSBURG, TN 38024-1605
(731) 288-5065
Mailing address
2615 LAKE RD, DYERSBURG, TN 38024-1605
(731) 288-5065
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
46241
TN
Other
Enumeration date
11/11/2022
Last updated
11/11/2022
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