Individual
MRS. JENNIFER LAUREN HOLDEFER PENUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
ZRB 739, 1530 3RD AVE SOUTH, BIRMINGHAM, AL 35294-0001
(205) 975-1334
Mailing address
3921 FRONTIER ST, NORTHPORT, AL 35475-4658
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/10/2008
Last updated
09/14/2012
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