Individual
JASMINE ALEXIS SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1421 BLUFF RD, COLUMBIA, SC 29201-4809
(803) 805-6989
Mailing address
325 PEPPERCORN LN, COLUMBIA, SC 29223-4263
(803) 801-0445
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
50524
SC
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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