Individual
JENNA JAKIELASZEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
225 MEMORIAL DR, BERLIN, WI 54923-1243
(920) 361-1313
Mailing address
112 HILLSIDE DR, SPRING CITY, PA 19475-2610
(610) 906-5311
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
261386
WI
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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