Organization
FAMILY FIRST CARE CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA L OLSON APNP (OWNER)
(262) 271-6280
Entity
Organization
Contact information
Practice address
108 GROVE ST, EAGLE, WI 53119-2249
(262) 594-7012
(313) 556-1364
Mailing address
2125 PENHURST WAY, WAUKESHA, WI 53186-1224
(262) 594-7012
(313) 556-1364
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/09/2021
Last updated
11/12/2021
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