Individual
JENNIFER SUE NETTLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.H
Contact information
Practice address
916 KENTUCKY AVE, PADUCAH, KY 42003-1955
(270) 444-9625
(270) 575-5458
Mailing address
916 KENTUCKY AVE, PADUCAH, KY 42003-1955
(270) 444-9625
(270) 575-5458
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
4144
KY
Other
Enumeration date
11/17/2014
Last updated
11/17/2014
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