MRS. Jennifer Michele Gates

NPI #1376956367 in Ixonia, Wisconsin

Provider Information

NPI Number
1376956367
Entity Type
Individual
Name
MRS. Jennifer Michele Gates
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Jun 6, 2014
Last Updated
Jun 6, 2014

Practice Location

Address
W2093 GARY LN
City
Ixonia
ZIP Code
53036-9724
Phone
(920) 253-5625

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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