Individual
JENNIFER SUTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
535 PONDEROSA LN, KEYSER, WV 26726-6883
(394) 790-0573
Mailing address
535 PONDEROSA LN, KEYSER, WV 26726-6883
(394) 790-0573
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
10559
WV
Other
Enumeration date
12/20/2022
Last updated
12/20/2022
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