Individual
JENNIFER THEROS-CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
1180 BOULEVARD ST, SUITE C, ORANGEBURG, SC 29115
(803) 531-6403
Mailing address
1180 BOULEVARD ST, SUITE C, ORANGEBURG, SC 29115
(803) 531-6403
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HAS-0506
SC
Other
Enumeration date
12/12/2012
Last updated
05/30/2019
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