Individual
JENNIFER ANN JUGENHEIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2901 GOLF RD, DELAFIELD, WI 53018-2178
(262) 646-9095
Mailing address
N16W26593 TALL REEDS LN UNIT A, PEWAUKEE, WI 53072-6639
(608) 213-6195
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14471-040
WI
Other
Enumeration date
01/30/2012
Last updated
01/30/2012
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