Individual
JENIFER VAN BUREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
292 LONG MEADOW LN, ROTONDA WEST, FL 33947-1810
(941) 830-8788
Mailing address
292 LONG MEADOW LN, ROTONDA WEST, FL 33947-1810
(941) 830-8788
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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