Individual
JADE WINDSOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
611 STATE HIGHWAY 54, BLACK RIVER FALLS, WI 54615-5453
(715) 284-9115
(715) 284-5330
Mailing address
611 STATE HIGHWAY 54, BLACK RIVER FALLS, WI 54615-5453
(715) 284-9115
(715) 284-5330
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19245-40
WI
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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