MRS. Jenna Leigh Heerkens, MSED

NPI #1205190956 in Fairport, New York

Provider Information

NPI Number: 1205190956
Entity Type: Individual
Name: MRS. Jenna Leigh Heerkens, MSED
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: MSED
Enumeration Date: Jun 27, 2012
Last Updated: Jun 27, 2012

Practice Location

Address: 6 N MAIN ST
Address 2: SUITE 110
City: Fairport
State: New York
ZIP Code: 14450-1524
Phone: (585) 377-6590

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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