Individual
PAMELA S KOOSMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
32 CAMELOT LN LOT 123, RICE LAKE, WI 54868-8625
(715) 296-0702
(715) 949-1026
Mailing address
32 CAMELOT LN LOT 123, RICE LAKE, WI 54868-8625
(715) 296-0702
(715) 949-1026
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
122555-30
WI
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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