Individual
MS. JENNIFER RENEE VIEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
3801 OLD BRUCEVILLE RD, VINCENNES, IN 47591-3889
(812) 886-4677
(812) 886-4678
Mailing address
420 N 4TH ST, VINCENNES, IN 47591-1319
(812) 890-9535
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
06002687A
IN
Other
Enumeration date
09/28/2012
Last updated
09/28/2012
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