Individual
JANET SUSAN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
223 E MAIN ST, WAUPUN, WI 53963-2019
(920) 324-8608
Mailing address
223 E MAIN ST, WAUPUN, WI 53963-2019
(920) 324-8608
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
11/29/2007
Last updated
11/29/2007
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