Individual
MRS. JENIFER OULBOUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6448 PEMBROKE RD, MIRAMAR, FL 33023-2138
(954) 799-0543
Mailing address
2827 NW 7TH ST, FORT LAUDERDALE, FL 33311-7633
(954) 789-3202
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9111108
FL
Other
Enumeration date
04/20/2018
Last updated
02/17/2021
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