Individual
MS. JENNIFER M SLASKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1537 S 64TH ST, WEST ALLIS, WI 53214-4902
(414) 208-7362
Mailing address
1537 S 64TH ST, WEST ALLIS, WI 53214-4902
(414) 208-7362
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
309333-031
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35052700- PROVIDER #
—
WI
Enumeration date
04/13/2008
Last updated
11/25/2012
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