Individual
JENNIFER CLONTZ SPIDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1208 SKYWAY DR, MONROE, NC 28110-3002
(704) 289-2501
(704) 225-1114
Mailing address
1208 SKYWAY DR, MONROE, NC 28110-3002
(704) 289-2501
(704) 225-1114
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20337
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0905447
—
NC
Enumeration date
03/03/2010
Last updated
03/03/2010
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