Individual
JESSICA LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1430 S ROAN ST, JOHNSON CITY, TN 37601-7332
(423) 926-4861
Mailing address
1430 S ROAN ST, JOHNSON CITY, TN 37601-7332
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000042108
TN
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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