Individual
MRS. JENNIFER M ACUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6839 S CANTON AVE, TULSA, OK 74136-3402
(918) 494-0612
(918) 841-5170
Mailing address
6839 SOUTH CANTON, TULSA, OK 74136-3402
(918) 494-0612
(918) 841-5170
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1605
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200105940A
—
OK
Enumeration date
02/21/2007
Last updated
10/15/2012
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