Individual
KIRBY REBEKAH JEFFORDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
319 MERCY ST, LAKE CITY, SC 29560-2331
(843) 374-2825
Mailing address
319 MERCY ST, LAKE CITY, SC 29560-2331
(843) 374-2825
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
58245
SC
Other
Enumeration date
02/15/2024
Last updated
02/15/2024
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