Individual
JESSICA TRAPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12405 W NORTH LN, NEW BERLIN, WI 53151-9047
(414) 218-7133
Mailing address
12405 W NORTH LN, NEW BERLIN, WI 53151-9047
(414) 218-7133
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
T6104329471500
WI
Other
Enumeration date
04/18/2015
Last updated
04/18/2015
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