Individual
JACQUELINE DUBOIS DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1003 BRENTWOOD PT, BRENTWOOD, TN 37027-7966
(321) 720-5710
Mailing address
8105 MOORES LN, BRENTWOOD, TN 37027-8020
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
39412
TN
Other
Enumeration date
10/08/2015
Last updated
10/08/2015
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