Jennifer Linda Channel, LMBT
NPI #1245362268 in Jacksonville, North Carolina
Provider Information
- NPI Number
- 1245362268
- Entity Type
- Individual
- Name
- Jennifer Linda Channel, LMBT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Contractor
- Credential
- LMBT
- Enumeration Date
- Mar 12, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 411 WESTERN BLVD
- Address 2
- SUITE B
- City
- Jacksonville
- State
- North Carolina
- ZIP Code
- 28546-6822
- Phone
- (910) 581-9615
Specialties & Taxonomy Codes
| Specialty |
|---|
| Contractor |
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