Individual
JENNIFER SMOTHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 13TH ST, SAINT CLOUD, FL 34769-6763
(407) 957-4333
Mailing address
75 NESTING LOOP, SAINT CLOUD, FL 34769-1907
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
RPT2883
FL
Other
Enumeration date
06/14/2020
Last updated
06/14/2020
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