Individual
CONSTANCE JEAN CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 AIRPORT RD, WAUKESHA, WI 53188-2461
(262) 548-7986
(262) 970-4799
Mailing address
1501 AIRPORT RD, WAUKESHA, WI 53188-2461
(262) 548-7986
(262) 970-4799
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
137283
WI
Other
Enumeration date
11/10/2017
Last updated
11/10/2017
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