Individual
JENNIFER LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3820 52ND ST, KENOSHA, WI 53144-2624
(262) 652-9665
Mailing address
3820 52ND ST, KENOSHA, WI 53144-2624
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16941-40
WI
Other
Enumeration date
06/24/2013
Last updated
06/24/2013
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