JENNY LYNN FURTAK

SAINT LOUIS, MO
NPI1720265077
Former NameJENNY LYNN ETLING
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: MO  2000171394)
Enumeration Date2008-01-29
Last Update Date2020-11-13
Business Address
JENNY LYNN FURTAK PNP
1465 S GRAND BLVD
SAINT LOUIS, MO 63104-1003
Phone number: 314-577-5606
Mailing Address
JENNY LYNN FURTAK PNP
1465 S GRAND BLVD
SAINT LOUIS, MO 63104-1003
Phone number: 314-577-5666
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