Individual
JENNIFER LYNN BEHM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
N3360 ORCHARD RD, ANTIGO, WI 54409-8914
(715) 627-0937
Mailing address
N3360 ORCHARD RD, ANTIGO, WI 54409-8914
(715) 627-0937
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
169951
WI
Other
Enumeration date
09/15/2009
Last updated
09/16/2009
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