Individual
JUDITH MARIE JANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
10 TRI PARK WAY, APPLETON, WI 54914-1658
(920) 831-0070
Mailing address
313 E KIMBERLY AVE, KIMBERLY, WI 54136-1448
(920) 788-3133
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
22684
WI
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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