Individual
JODI LYN HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
725 E VILLA MARIA RD, BRYAN, TX 77802-5319
(979) 822-1850
Mailing address
725 E VILLA MARIA RD, BRYAN, TX 77802-5319
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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