Individual
JIEYU LUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8700 W TRAIL LAKE DR, MEMPHIS, TN 38125-8205
(901) 309-1404
Mailing address
8700 W TRAIL LAKE DR, MEMPHIS, TN 38125-8205
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
38640
TN
Other
Enumeration date
09/08/2014
Last updated
09/08/2014
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