Individual
ERIN ANNE JORGENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7012 3RD AVE, KENOSHA, WI 53143-5507
(608) 632-3254
Mailing address
7012 3RD AVE, KENOSHA, WI 53143-5507
(608) 632-3254
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
253257-30
WI
Other
Enumeration date
02/20/2012
Last updated
11/07/2024
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