Individual
ELISE DAMICO-STANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2787 S AMOR DR, NEW BERLIN, WI 53146-2304
(414) 639-5239
Mailing address
2787 S AMOR DR, NEW BERLIN, WI 53146-2304
(414) 639-5239
Taxonomy
Speciality
Code
Description
License number
State
163WN1003X
Nutrition Support Registered Nurse
Primary
163149-030
WI
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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