Individual
MRS. AMANDA KREKLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6580 S 46TH ST, FRANKLIN, WI 53132-8153
(414) 421-0276
Mailing address
2704 JAMES BLVD, RACINE, WI 53403-3248
(262) 497-2098
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
189534
WI
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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