Individual
JASMINE GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
719 S STATE ROAD 19, PALATKA, FL 32177-3946
(386) 328-6787
Mailing address
PO BOX 102, PUTNAM HALL, FL 32185-0102
(352) 478-1210
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
RPT 6100
FL
Other
Enumeration date
05/20/2012
Last updated
05/20/2012
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