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Individual

MRS. BRIANNA JURSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
116 W GRAND AVE STE 210, PORT WASHINGTON, WI 53074-2242
(224) 221-1339
Mailing address
817 GLENLYON LN, PORT WASHINGTON, WI 53074-9691
(224) 221-1339

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86371856
WI

Other

Enumeration date
07/08/2024
Last updated
07/08/2024
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