Most Relevant Information
Provider Data
| NPI Number: | 1003577594 |
| Provider Name: | JESSICA LYNN STARNES |
| Entity Type: | Individual |
| Taxonomy Code: | 183700000X |
| Specialty: | Pharmacy Technician |
| License Number: | RPT70316 |
Most Important Dates
| Enumeration Date: | 01/06/2022 |
| Last Updated: | 01/06/2022 |
Provider Practice Location
935 MANTON AVE
PROVIDENCE
RI
029095628
Practice Location Phone/Fax
| Phone: | 4014535612 |
| Fax: |
Provider Mailing Location
1011 NE 6TH PL
CAPE CORAL
FL
339091358
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |