Individual
JACLYN EHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6515 GRAND TETON PLZ STE 100, MADISON, WI 53719-1048
(608) 841-2288
Mailing address
6515 GRAND TETON PLZ STE 100, MADISON, WI 53719-1048
(608) 841-2288
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5335-12
WI
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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