Individual
FATMATA BREWAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3826 CLOVER LN, MADISON, WI 53714-2904
(608) 239-1582
Mailing address
3826 CLOVER LN, MADISON, WI 53714-2904
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
163W0000X
WI
Other
Enumeration date
08/16/2011
Last updated
08/16/2011
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