Individual
VICTORIA CANNELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
209 W WASHINGTON ST, SUITE B, WAUSAU, WI 54403-5475
(715) 845-3637
Mailing address
209 W WASHINGTON ST, SUITE B, WAUSAU, WI 54403-5475
(715) 845-3637
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
170462-30
WI
Other
Enumeration date
11/24/2009
Last updated
11/24/2009
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