Individual
JENNIFER MOZINGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4978 S HIGHWAY 8A, WATONGA, OK 73772-1038
(512) 948-1885
Mailing address
PO BOX 427, WATONGA, OK 73772-0427
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/22/2014
Last updated
09/22/2014
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