Individual
LAUREL JANELLE WYCOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
24123 PEACHLAND BLVD, PORT CHARLOTTE, FL 33954-3774
(941) 627-5704
(941) 625-1986
Mailing address
24123 PEACHLAND BLVD, PORT CHARLOTTE, FL 33954-3774
(941) 627-5704
(941) 625-1986
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
RPT2291
FL
Other
Enumeration date
06/20/2010
Last updated
06/20/2010
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