Individual
JENICA RAE NEUFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4060 DEVONSHIRE DR, PROVO, UT 84604-5347
(541) 760-2281
Mailing address
190 SW BRUMBACK ST # 2255, MCMINNVILLE, OR 97128-6899
(541) 760-2281
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/08/2018
Last updated
02/08/2018
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