Jennifer Lee King

NPI #1629632161 in Yukon, Oklahoma

Provider Information

NPI Number: 1629632161
Entity Type: Individual
Name: Jennifer Lee King
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: Apr 30, 2019
Last Updated: Apr 30, 2019

Practice Location

Address: 9432 NW 88TH ST
City: Yukon
State: Oklahoma
ZIP Code: 73099-9290
Phone: (909) 365-9451

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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