GINA LOUISE JETZER

SHEBOYGAN, WI
NPI1104512052
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WI  310358-031)
Enumeration Date2023-04-13
Last Update Date2023-04-13
Business Address
GINA LOUISE JETZER LPN
2405 COOPER AVE
SHEBOYGAN, WI 53083-4202
Phone number: 920-946-2607
Mailing Address
GINA LOUISE JETZER LPN
2405 COOPER AVE
SHEBOYGAN, WI 53083-4470
Phone number: 920-946-2607