Individual
JENNA ROSE BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CD RD
Contact information
Practice address
3807 SPRING ST, MOUNT PLEASANT, WI 53405-1667
(262) 687-6339
(262) 687-6345
Mailing address
3807 SPRING ST, MOUNT PLEASANT, WI 53405-1667
(262) 687-6339
(262) 687-6345
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2286
WI
Other
Enumeration date
09/01/2011
Last updated
09/01/2011
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