Individual
JENNIFER PEARL WAMBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1810 CAROLINE AVE APT J002, JUNCTION CITY, KS 66441-5271
(816) 469-5162
Mailing address
1810 CAROLINE AVE APT J002, JUNCTION CITY, KS 66441-5271
(808) 465-7267
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/27/2017
Last updated
12/27/2017
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