Individual
MRS. JESSICA MAE LABODA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1801 POINSETT HWY, GREENVILLE, SC 29609-2850
(864) 240-8141
Mailing address
6 RED JONATHAN CT, SIMPSONVILLE, SC 29681-6386
(864) 205-8272
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14332
SC
Other
Enumeration date
08/15/2013
Last updated
08/15/2013
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