Individual
JENA CHRISTOPHERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 MILLER PARK WAY, WEST MILWAUKEE, WI 53214-3654
(414) 203-0107
Mailing address
1501 MILLER PARK WAY, WEST MILWAUKEE, WI 53214-3654
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17260-40
WI
Other
Enumeration date
09/06/2013
Last updated
09/06/2013
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