Individual
JASMINE S SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
361 MARY RD, SALTERS, SC 29590-3762
(843) 372-1155
Mailing address
361 MARY RD, SALTERS, SC 29590-3762
(843) 372-1155
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
X9P4R7R4
SC
Other
Enumeration date
04/11/2022
Last updated
01/16/2023
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