Individual
MRS. NICOLE D JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAIR LOSS SPECIALIST
Contact information
Practice address
920 SAINT ANDREWS RD STE 2&3, COLUMBIA, SC 29210-5816
(803) 312-4850
Mailing address
5 TROTTER CT, LUGOFF, SC 29078-8734
(803) 312-4850
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
04/15/2019
Last updated
04/15/2019
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