Individual
MS. JENNIFER LOUISE KNUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDC
Contact information
Practice address
PSC BOX 21034, JACKSONVILLE, NC 28545-1034
(910) 449-6500
(910) 449-6532
Mailing address
PSC BOX 21034, MCAS NEW RIVER, JACKSONVILLE, NC 28450-1034
(910) 449-6500
(910) 449-6532
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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