Individual
JENNIFER DE LA PAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3330 E CALUMET ST, APPLETON, WI 54915-4127
(920) 733-3016
Mailing address
3330 E CALUMET ST, APPLETON, WI 54915-4127
(920) 733-3016
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17674-40
WI
Other
Enumeration date
02/17/2015
Last updated
02/17/2015
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