Individual
JESSICA LYNN MAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6030 W OKLAHOMA AVE, MILWAUKEE, WI 53219-4133
(414) 327-1010
Mailing address
4995 SUTTON LN, GREENDALE, WI 53129-2028
(414) 698-4230
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15558-40
WI
Other
Enumeration date
11/25/2011
Last updated
11/25/2011
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