Individual
JENNIFER SEPULVEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6603 MECHANICSVILLE TPKE, MECHANICSVILLE, VA 23111
(804) 569-3902
Mailing address
1515 FLINTWOOD AVE, COOKEVILLE, TN 38506-4133
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202222226
VA
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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