Individual
MRS. JODI LYNN BRIENEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
L.P.N
Contact information
Practice address
N7185 HIGHWAY 57, PLYMOUTH, WI 53073-3114
(920) 893-4030
Mailing address
N7185 HIGHWAY 57, PLYMOUTH, WI 53073-3114
(920) 893-4030
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
30977-031
WI
Other
Enumeration date
02/03/2006
Last updated
07/08/2007
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