Individual
JENNA NICHOLE DUFFEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
1701 N INDIANA AVE # 42220, LUBBOCK, TX 79409-9843
(806) 834-0465
Mailing address
5202 AUBURN ST APT 1111, LUBBOCK, TX 79416-1473
(210) 387-2838
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
AT5282
TX
Other
Enumeration date
02/28/2017
Last updated
02/28/2017
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