Individual
DR. JENNIFER ROSE DECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
107 E WATTS ST, ENTERPRISE, AL 36330-2511
(334) 310-1706
Mailing address
107 E WATTS ST, ENTERPRISE, AL 36330-2511
(334) 310-1706
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
000853
CT
213E00000X
Podiatrist
016005364
IL
213E00000X
Podiatrist
Primary
328
AL
213E00000X
Podiatrist
PO3855
FL
Other
Enumeration date
04/30/2008
Last updated
10/15/2021
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