Individual
NORMAJEAN L HARNESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
701 W SOUTH ST, LAKE GENEVA, WI 53147-2337
(262) 325-8285
Mailing address
701 W SOUTH ST, LAKE GENEVA, WI 53147-2337
(262) 325-8285
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
038.013606
IL
111NN1001X
Nutrition Chiropractor
Primary
5567-12
WI
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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