Individual
JENNIFER ROSE CUENI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2120 BRANDYWINE ST, PHILADELPHIA, PA 19130-3107
(412) 926-8694
Mailing address
2120 BRANDYWINE ST, PHILADELPHIA, PA 19130-3107
(412) 926-8694
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA061284
PA
363A00000X
Physician Assistant
OA005108
PA
Other
Enumeration date
11/21/2019
Last updated
12/15/2019
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