Individual
MRS. JENA RAYLYNN-GWENDOLYN LUEKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
117 RODGERS DR, HOLDENVILLE, OK 74848-2877
(405) 379-6668
Mailing address
PO BOX 590, HOLDENVILLE, OK 74848-0590
(405) 379-6668
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/07/2018
Last updated
09/07/2018
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