Individual
MRS. JENNIFER B SCULLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
531 GREEN ST, THIBODAUX, LA 70301-3221
(985) 447-4664
Mailing address
6700 WASHINGTON AVE S, EDEN PRAIRIE, MN 55344-3405
(800) 328-8602
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
1308
LA
Other
Enumeration date
04/18/2019
Last updated
08/02/2019
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