| NPI | 1427045509 |
|---|---|
| Former Name | JENNIFER L MAZZOLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA 25242) |
| Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy (Licence: MA 25242) |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2007-07-08 |