Individual
MS. DAWN LEANNE MATHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
122 EAGLE LAKE AVE, MUKWONAGO, WI 53149
(262) 363-5554
Mailing address
W6212 HWY 12, WHITEWATER, WI 53190
(262) 495-2478
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
79333030
WI
Other
Enumeration date
05/19/2008
Last updated
05/19/2008
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