Organization
GWENDOLYN JEFFRO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS GWENDOLYN K JEFFRO LPN (DISPENDING)
(414) 967-7006
Entity
Organization
Contact information
Practice address
3707 N RICHARDS ST, MILWAUKEE, WI 53212-1673
(414) 967-7006
(414) 967-7020
Mailing address
3707 N RICHARDS ST, MILWAUKEE, WI 53212-1673
(414) 967-7006
(414) 967-7020
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
32807-31
WI
Other
Enumeration date
11/20/2012
Last updated
01/14/2013
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