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Individual

JESSICA L INTEREST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SCPHT

Contact information

Practice address
105 E OCEAN AVE, LANTANA, FL 33462-3205
(561) 540-4423
Mailing address
105 E OCEAN AVE, LANTANA, FL 33462-3205
(561) 540-4423

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
RPT93690
FL

Other

Enumeration date
05/21/2025
Last updated
05/21/2025
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