Christa Dawn Jennette

NPI #1942476908 in Olney, Illinois

Provider Information

NPI Number
1942476908
Entity Type
Individual
Name
Christa Dawn Jennette
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Private Vehicle
Enumeration Date
Apr 30, 2008
Last Updated
Apr 30, 2008

Practice Location

Address
1113 KEIFFER DR
City
Olney
ZIP Code
62450
Phone
(618) 392-4106

Specialties & Taxonomy Codes

Specialty
Private Vehicle

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