Individual
JENNIFER AKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD, BCGP, BC-ADM
Contact information
Practice address
1395 NW 167TH ST, MIAMI, FL 33169-5710
(786) 648-4499
Mailing address
1395 NW 167TH ST, MIAMI, FL 33169-5710
(786) 648-4499
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
PS58846
GA
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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