Individual
MRS. JAIME L POPENHAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 ELIZABETH LN, GENOA CITY, WI 53128-2124
(262) 279-2800
Mailing address
1400 HUNTERS RIDGE DR, #45, GENOA CITY, WI 53128-2532
(815) 276-8872
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
03/06/2013
Last updated
03/06/2013
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