JACK ALIBERT LEGRAND

PROSPERITY, SC
NPI1982105243
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy174H00000X Health Educator
Enumeration Date2018-02-22
Last Update Date2018-02-22
Business Address
Mr. JACK ALIBERT LEGRAND
600 N WHEELER AVE
PROSPERITY, SC 29127-9332
Phone number: 803-364-4852
Mailing Address
Mr. JACK ALIBERT LEGRAND
PO BOX 630
PROSPERITY, SC 29127-0630
Phone number: 803-364-4852