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Individual

ADERO KAIA STALLWORTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
6520 MEMPHIS ARLINGTON RD, BARTLETT, TN 38135-2402
(901) 388-4331
Mailing address
165 LONE OAK DR, EADS, TN 38028-3361
(901) 494-6538

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000041804
TN

Other

Enumeration date
11/10/2020
Last updated
11/10/2020
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