Individual
MRS. JERRI JOANN KRUEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4278 W LINEBAUGH AVE, TAMPA, FL 33624-5241
(813) 960-3321
Mailing address
16202 MUIRFIELD DR, ODESSA, FL 33556-2829
(813) 283-0773
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 9103531
FL
Other
Enumeration date
02/17/2007
Last updated
04/02/2010
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