Individual
JENNIFER ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 W BROADWAY, SEMINOLE, OK 74868-4325
(405) 229-8694
Mailing address
35964 EW 1170, SEMINOLE, OK 74868-6609
(405) 229-8694
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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