Jenale Larae King

NPI #1619518370 in Dolton, Illinois

Provider Information

NPI Number
1619518370
Entity Type
Individual
Name
Jenale Larae King
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Oct 3, 2019
Last Updated
Oct 3, 2019

Practice Location

Address
14813 OAK ST
City
Dolton
ZIP Code
60419-2609
Phone
(773) 587-6435

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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