Individual
JENNIFER L BENZINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1117 N 8TH ST, MANITOWOC, WI 54220-2817
(920) 242-7484
Mailing address
1117 N 8TH ST, MANITOWOC, WI 54220-2817
(920) 242-7484
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
308474-031
WI
Other
Enumeration date
07/09/2010
Last updated
07/09/2010
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