Individual
JENNA KERDUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6000 S INDIAN MERIDIAN, CHOCTAW, OK 73020-5016
(319) 899-3406
Mailing address
6000 S INDIAN MERIDIAN, CHOCTAW, OK 73020-5016
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/04/2024
Last updated
01/04/2024
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