Jayme Licht

NPI #1467843979 in Stafford, Virginia

Provider Information

NPI Number: 1467843979
Entity Type: Individual
Name: Jayme Licht
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacy Technician
Enumeration Date: Feb 5, 2015
Last Updated: Feb 5, 2015

Practice Location

Address: 1090 STAFFORD MARKET PL
City: Stafford
State: Virginia
ZIP Code: 22556-4523
Phone: (540) 658-9927

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy Technician	183700000X	Primary

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