Individual
DEBORAH SELODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
415 BLACK EARTH RD, WALES, WI 53183-9759
(262) 968-1876
Mailing address
2962 MADISON ST UNIT D, WAUKESHA, WI 53188-4563
(262) 853-4313
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
111310-30
WI
Other
Enumeration date
06/04/2012
Last updated
06/04/2012
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