Individual
RAQUEL LYNN STARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12232 N RIDGE TRL, HALES CORNERS, WI 53130-2334
(414) 640-9124
Mailing address
12232 N RIDGE TRL, HALES CORNERS, WI 53130-2334
(414) 640-9124
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
245579
WI
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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