Individual
ALYSSA JAYDE POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2014 S IRBY ST, FLORENCE, SC 29505-3420
(843) 292-0401
Mailing address
2014 S IRBY ST, FLORENCE, SC 29505-3420
(843) 292-0401
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
248699
SC
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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