Individual
JENNIFER MARY WOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT
Contact information
Practice address
1025 N BROADWAY, MILWAUKEE, WI 53202-3109
(414) 277-2588
(414) 277-2495
Mailing address
405 SOUTHTOWNE DR, #K208, SOUTH MILWAUKEE, WI 53172-4280
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1207-039
WI
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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