Individual
JESSIE GANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
Mailing address
624 S FRONT ST APT 301, MEMPHIS, TN 38103-1664
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
48020
TN
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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