Individual
MS. JENNY REBECCA FENNYCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5107 E EASTON ST, TULSA, OK 74115-7606
(580) 279-9036
Mailing address
5107 E EASTON ST, TULSA, OK 74115-7606
(580) 279-9036
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
42758
OK
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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