Individual
JENNIFER L VAN VLEET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
N2348 COUNTY ROAD F, WALWORTH, WI 53184-5662
(262) 728-6648
Mailing address
N2348 COUNTY ROAD F, WALWORTH, WI 53184-5662
(262) 728-6648
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
163912-030
WI
Other
Enumeration date
02/03/2009
Last updated
02/03/2009
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