Individual
MS. JAMIE ANN VER HAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
218800 FAWN RD LOT 81, MOSINEE, WI 54455-4352
(715) 409-1801
Mailing address
218800 FAWN RD LOT 81, MOSINEE, WI 54455-4352
(715) 409-1801
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
NA269260
WI
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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