Individual
MS. JENNA OGOR-LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-4243
Mailing address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2804-29
WI
Other
Enumeration date
09/09/2015
Last updated
10/21/2020
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