Individual
HEATHER JANE RECKLIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
120 FRANKLIN ST, ELKHORN, WI 53121-1618
(262) 723-3042
Mailing address
120 FRANKLIN ST, ELKHORN, WI 53121-1618
(262) 723-3042
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
159657-30
WI
Other
Enumeration date
03/05/2012
Last updated
03/05/2012
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