Individual
JENNIFER HARNACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
W227N6103 SUSSEX RD, SUSSEX, WI 53089-3969
(414) 566-8028
Mailing address
N8169 BLUEBIRD CT, IXONIA, WI 53036-9484
(262) 893-7979
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/07/2020
Last updated
02/07/2020
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