JENNIFER MENGEDOHT

ROCKFORD, IL
NPI1376891994
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: IL  043-106278)
Enumeration Date2012-08-29
Last Update Date2012-08-29
Business Address
-- JENNIFER MENGEDOHT LPN
3815 HARRISON AVE
ROCKFORD, IL 61108-7631
Phone number: 815-391-1000
Mailing Address
-- JENNIFER MENGEDOHT LPN
1021 N MULFORD RD
ROCKFORD, IL 61107-3877
Phone number: 815-387-5600