Individual
MRS. KATHERYN N VANCLEEF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
880 MADISON AVE, MEMPHIS, TN 38103-3409
(901) 545-6299
Mailing address
4683 ALOHA AVE, MEMPHIS, TN 38118-3218
(901) 794-1641
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
C502
OK
Other
Enumeration date
06/30/2006
Last updated
07/08/2007
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