Individual
JODI K HERBST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1716 OAKRIDGE CT, STOUGHTON, WI 53589-4938
(608) 877-1465
Mailing address
1716 OAKRIDGE CT, STOUGHTON, WI 53589-4938
(608) 877-1465
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
316720-31
WI
Other
Enumeration date
04/10/2013
Last updated
04/10/2013
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