Individual
JAYLEN BREE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5221 BROOK RD, RICHMOND, VA 23227-2901
(804) 266-7120
Mailing address
507 WINSTON ST, RICHMOND, VA 23222-2113
(804) 237-4068
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
0230035240
VA
Other
Enumeration date
04/25/2021
Last updated
04/25/2021
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