JENNIFER R CONNOLLY

KENOSHA, WI
NPI1811062581
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: WI  6549-016)
Enumeration Date2006-11-21
Last Update Date2007-07-09
Business Address
-- JENNIFER R CONNOLLY RDH
4536 22ND AVE
KENOSHA, WI 53140-5917
Phone number: 262-656-0044
Mailing Address
-- JENNIFER R CONNOLLY RDH
11115 79TH ST
KENOSHA, WI 53158-1122
Phone number: 262-945-7316