Individual
JENNIFER DARLENE DEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
9 BENTON RD, TRAVELERS REST, SC 29690-2168
(864) 834-9868
(864) 834-0567
Mailing address
9 BENTON RD, TRAVELERS REST, SC 29690-2168
(864) 834-9868
(864) 834-0567
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1327
SC
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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