JENNIFER L WILLARD

COLUMBIA, SC
NPI1538653795
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: DE  L2-0009278)
Enumeration Date2018-06-20
Last Update Date2018-06-20
Business Address
JENNIFER L WILLARD LPN
4500 STUART ST
COLUMBIA, SC 29207-5700
Phone number: 803-751-7466
Mailing Address
JENNIFER L WILLARD LPN
1014 GWINMAR RD
INDIAN TRAIL, NC 28079-8488
Phone number: