Individual
MS. JEANEEN ANN ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
534 WATER ST, EAU CLAIRE, WI 54703-5631
(715) 829-9794
Mailing address
8631 141ST ST, CHIPPEWA FALLS, WI 54729-5291
(715) 829-9794
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3902-146
WI
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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