Individual
MR. JOSEPH REDDIE QUIAMBAO STUART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
877 JEFFERSON AVE, MEMPHIS, TN 38103-2807
(901) 448-5500
Mailing address
107 COPLAND CT, GEORGETOWN, KY 40324-2158
(859) 967-3051
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/12/2024
Last updated
04/12/2024
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