Individual
CLARISSA KUM
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
1030 JEFFERSON AVE, CW104A, MEMPHIS, TN 38104-2127
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
56008208
NY
Other
Enumeration date
07/03/2014
Last updated
02/07/2015
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