Jerris Jean Pelts

NPI #1679718282 in Kennett, Missouri

Provider Information

NPI Number: 1679718282
Entity Type: Individual
Name: Jerris Jean Pelts
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Dec 10, 2008
Last Updated: Dec 10, 2008

Practice Location

Address: 1109 JONES ST
City: Kennett
State: Missouri
ZIP Code: 63857-3824
Phone: (573) 888-6545

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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