Individual
JENNY LEIGH CLEMENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
106 MONROE ST, PAULS VALLEY, OK 73075-5034
(405) 207-0941
Mailing address
106 MONROE ST, PAULS VALLEY, OK 73075-5034
(405) 207-0941
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
37T012270408
OK
Other
Enumeration date
09/29/2011
Last updated
09/29/2011
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