Individual
JENNIFER GARDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
119 E MACKIE ST STE 2, BEAVER DAM, WI 53916-2031
(920) 356-1578
Mailing address
119 E MACKIE ST STE 2, BEAVER DAM, WI 53916-2031
(920) 356-1578
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
818-55
WI
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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