Individual
JESSICA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
59 WATERFRONT PLZ, NEWPORT, VT 05855-4877
(802) 334-6785
Mailing address
105 MOUNTAIN VIEW DR, JAY, VT 05859-6502
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
121.0135706
VT
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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