NPI | 1427622752 |
---|---|
Former Name | JALESSA NICOLE JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: DE A1-0015654) |
Additional Taxonomies | 183500000X Pharmacist (Licence: TX 67667) |
Enumeration Date | 2021-05-20 |
Last Update Date | 2023-08-22 |