Individual
MOLLY JAGLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
477 BERGAMONT BLVD, OREGON, WI 53575-3843
(262) 339-7912
Mailing address
477 BERGAMONT BLVD, OREGON, WI 53575-3843
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5883
WI
Other
Enumeration date
08/05/2014
Last updated
11/01/2022
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