Individual
KENITRA KAMARAN WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
700 N JACKSON ST, TULLAHOMA, TN 37388-3544
(931) 455-6778
(931) 461-1281
Mailing address
700 NORTH JACKSON, TULLAHOMA, TN 37388
(931) 455-6778
(931) 461-1281
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
27076
TN
Other
Enumeration date
06/23/2010
Last updated
06/23/2010
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