Individual
JACQUELINE D FRANKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3301 E CLARK ST, WICHITA, KS 67218-4808
(316) 299-3834
Mailing address
3301 E CLARK ST # 21254, WICHITA, KS 67218-4808
(316) 299-3834
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
K02-04-6053
KS
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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