NPI 1053652602
Jaime L Popenhagen
Practice location
- Address
- 112 Elizabeth Ln, Genoa City, WI 53128-2124
- Phone
- (262) 279-2800
- Mailing address
- 1400 Hunters Ridge Dr #45, Genoa City, WI 53128-2532
Registered specialties
Nutritionist
Primary
Registry record
- NPI
- 1053652602
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 6 Mar 2013
- Record last updated
- 6 Mar 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.