Individual
MS. JENNIFER GENAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
N194 COUNTY ROAD II, FREMONT, WI 54940-9724
(920) 268-9429
Mailing address
N194 COUNTY ROAD II, FREMONT, WI 54940-9724
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
11919830
WI
Other
Enumeration date
08/28/2014
Last updated
08/28/2014
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