Individual
JESSICA MARIE BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8 CLOVERDALE CT, SIMPSONVILLE, SC 29681-2142
(864) 484-3705
Mailing address
8 CLOVERDALE CT, SIMPSONVILLE, SC 29681-2142
(864) 484-3705
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
106056080
SC
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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