Individual
DANIELLE HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
812 N MAIN ST, LAKE MILLS, WI 53551-1117
(920) 648-5187
Mailing address
812 N MAIN ST, LAKE MILLS, WI 53551-1117
(920) 648-5187
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19962-40
WI
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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