Individual
JEUEL LEIGH BAYAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
880 MADISON AVE, MEMPHIS, TN 38103-3409
(901) 515-3200
Mailing address
880 MADISON AVE, MEMPHIS, TN 38103-3409
(901) 515-9439
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
069740
NY
Other
Enumeration date
10/10/2022
Last updated
10/02/2025
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