Individual
JENNIFER BETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
981 N SHAWANO ST, NEW LONDON, WI 54961-9380
(920) 982-5189
Mailing address
981 N SHAWANO ST, NEW LONDON, WI 54961-9380
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18551-40
WI
Other
Enumeration date
02/20/2020
Last updated
02/22/2020
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