Individual
JENNA N GRESENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
711 N MAIN ST, EDGERTON, WI 53534-1530
(608) 884-3308
(608) 884-7725
Mailing address
379 E SAMUELSEN DR, EDGERTON, WI 53534-8412
(608) 884-2562
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12972-040
WI
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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