Individual
ALEXANDREA JEROME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6571 AFTERHOURS ROAD, BRULE, WI 54820
(608) 383-3048
Mailing address
14035 N PINE ROCK RD, DRUMMOND, WI 54832-4427
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
249126-30
WI
Other
Enumeration date
12/13/2019
Last updated
12/13/2019
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