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Jaclyn Weiss

NPI 1174777171 · on the registry since 2008 · sole proprietor

Practice

Address
6709 Kaci Ln
Fort Mill, SC 29707
Phone
(803) 548-0369

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Also registered as
235Z00000X
235Z00000X
Licence states on file
SC, NC, NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-11-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina