Individual
MRS. MARY MARGARET CICHOCKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
514 RIVERVIEW AVE, WAUKESHA, WI 53188-3631
(262) 548-7666
(262) 548-7656
Mailing address
514 RIVERVIEW AVE, WAUKESHA, WI 53188-3631
(262) 548-7666
(262) 548-7656
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
88004-30
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88004
RN
WI
Enumeration date
01/15/2020
Last updated
01/15/2020
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