Individual
JASMINE ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1372 WINTERWOOD RD, COLUMBIA, SC 29203-9795
(843) 593-2496
Mailing address
1372 WINTERWOOD RD, COLUMBIA, SC 29203-9795
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
08/22/2021
Last updated
08/22/2021
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