Individual
ELAINE ROMENESKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1703 60TH ST, KENOSHA, WI 53140-3986
(262) 309-0864
Mailing address
W286N3284 WOODGATE CT, PEWAUKEE, WI 53072-3327
(262) 309-0864
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1205239001
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4971-154
STATE SLP TEMPORARY LICENSE
WI
Enumeration date
01/14/2020
Last updated
01/14/2020
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