Individual
KWOK CHU TERESA LO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5156 MILLER LAKE ROAD, CULLEOKA, TN 38451
(931) 379-7500
Mailing address
5156 MILLER LAKE RD., CULLEOKA, TN 38451
(931) 379-7500
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6718
TN
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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