Individual
JENNIFER TENEIL SCRIVEN UDEKIGBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 GROVES BLVD, NORTH AUGUSTA, SC 29841-3956
(803) 508-2401
Mailing address
601 GROVES BLVD, NORTH AUGUSTA, SC 29841-3956
(803) 508-2401
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
01/11/2025
Last updated
01/11/2025
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