Individual
MS. JENNIFER SICULIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3095 OLD ATLANTA RD, CUMMING, GA 30041-2737
(770) 844-5686
Mailing address
5510 KINGSLEY MNR, CUMMING, GA 30041-6113
(404) 798-1177
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH018827
GA
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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