Individual
MRS. SARAH BURRIE CARABACAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 N 116TH ST, APT 3, WAUWATOSA, WI 53226-3262
(414) 507-3798
Mailing address
1300 N 116TH ST, APT 3, WAUWATOSA, WI 53226-3262
(414) 507-3798
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35042000
—
WI
Enumeration date
11/19/2007
Last updated
11/19/2007
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