Individual
MISS JENNIFER JOY PACOCHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
8733 ROLLING HILLS RD, AMHERST JCT, WI 54407-9404
(715) 630-5558
Mailing address
8733 ROLLING HILLS RD, AMHERST JCT, WI 54407-9404
(715) 630-5558
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
307677-31
WI
Other
Enumeration date
08/03/2011
Last updated
08/03/2011
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