Individual
MS. JOANNE M O'MALLEY-MATTIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1497 WHITETAIL DR, NEENAH, WI 54956-4485
(920) 720-0922
Mailing address
1497 WHITETAIL DR, NEENAH, WI 54956-4485
(920) 720-0922
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
165128-30
WI
Other
Enumeration date
06/22/2011
Last updated
06/22/2011
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