Individual
JENNIFER LEE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9432 NW 88TH ST, YUKON, OK 73099-9290
(909) 365-9451
Mailing address
9432 NW 88TH ST, YUKON, OK 73099-9290
(909) 365-9451
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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