Individual
MISS REBECCA CAITLYN DAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
404 N MAIN ST, OSHKOSH, WI 54901-4957
(920) 420-8778
Mailing address
5048 GINNOW RD, OMRO, WI 54963-9352
(920) 420-8778
Taxonomy
Speciality
Code
Description
License number
State
246ZA2600X
Medical Art Specialist/Technologist
Primary
4368-403
WI
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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