Individual
JASMINE DAWN CLEVINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
388 BEN BOLT AVE, TAZEWELL, VA 24651-5386
(276) 988-8850
Mailing address
PO BOX 358, GRUNDY, VA 24614-0358
(276) 244-0784
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202217086
VA
Other
Enumeration date
04/17/2019
Last updated
04/17/2019
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