Individual
MISS JENNIFER L KUNKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
N9671 DEER LAKE LN, PHILLIPS, WI 54555-7761
(715) 339-6706
Mailing address
765 FLAMBEAU AVE UPPR, PHILLIPS, WI 54555-1013
(715) 820-0459
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
321478
WI
Other
Enumeration date
02/05/2024
Last updated
02/06/2024
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