Individual
JUDITH E MCCALLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7700 PORTLAND AVE APT 221, WAUWATOSA, WI 53213-3187
(414) 218-3412
Mailing address
7700 PORTLAND AVE APT 221, WAUWATOSA, WI 53213-3187
(414) 218-3412
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
63090-30
WI
Other
Enumeration date
12/10/2013
Last updated
12/10/2013
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