Individual
JENNIFER UNGETHUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1737 HARTFORD LN, MT JULIET, TN 37122-8575
(502) 599-6808
Mailing address
1737 HARTFORD LN, MT JULIET, TN 37122-8575
(502) 599-6808
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/11/2018
Last updated
01/11/2018
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