Individual
DIANA SARANDOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1245 RADIANT DR, BROOKFIELD, WI 53005-7074
(262) 227-8963
Mailing address
1245 RADIANT DR, BROOKFIELD, WI 53005-7074
(262) 227-8963
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
179133-30
WI
Other
Enumeration date
02/16/2012
Last updated
02/16/2012
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