Individual
JEANNIE LEDWITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1320 S GREEN BAY RD, MOUNT PLEASANT, WI 53406-4402
(262) 223-0280
Mailing address
12059 43RD AVE, PLEASANT PRAIRIE, WI 53158-3926
(414) 469-4455
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
5451-16
WI
Other
Enumeration date
01/01/2020
Last updated
01/01/2020
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