Individual
JENNIFER SIEBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
TAYLOR AT MARION ST, COLUMBIA, SC 29220-0001
(803) 296-5578
Mailing address
405 FLAGSTONE CT, LEXINGTON, SC 29072-6902
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20825
SC
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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