Individual
JESSICA SEBOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 MALLARD ST, GREENVILLE, SC 29601-4046
(864) 233-1534
(864) 233-3403
Mailing address
PO BOX 287, GREENVILLE, SC 29602-0287
(864) 233-1534
(864) 312-6028
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
204443
SC
Other
Enumeration date
11/07/2012
Last updated
11/07/2012
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