Individual
MRS. JESSICA K KANNEMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
341 STATE ST, MADISON, WI 53703-2057
(608) 251-4454
Mailing address
341 STATE ST, MADISON, WI 53703-2057
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16563-40
WI
Other
Enumeration date
09/26/2013
Last updated
09/26/2013
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