Individual
JENNA KAY SLOTTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
624 S CHURCH ST, WATERTOWN, WI 53094-6229
(920) 261-7140
Mailing address
624 S CHURCH ST, WATERTOWN, WI 53094-6229
(920) 261-7140
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19911-40
WI
Other
Enumeration date
11/27/2019
Last updated
09/03/2021
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