Individual
JENNIFER CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6104 AVENUE Q SOUTH DR, LUBBOCK, TX 79412-3700
(806) 472-3400
Mailing address
6104 AVENUE Q SOUTH DR, LUBBOCK, TX 79412-3700
(806) 472-3400
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
1023281
TX
Other
Enumeration date
03/05/2014
Last updated
03/05/2014
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