Individual
SARAH HOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2212 S 9TH ST, SHEBOYGAN, WI 53081-6024
(920) 918-4767
Mailing address
2212 S 9TH ST, SHEBOYGAN, WI 53081-6024
(920) 918-4767
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
310031-31
WI
Other
Enumeration date
01/24/2015
Last updated
01/24/2015
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