Individual
MRS. JULIA M LA MAIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
N919 PEBBLE RIDGE RD, GREENVILLE, WI 54942-8672
(920) 757-5746
Mailing address
N919 PEBBLE RIDGE RD, GREENVILLE, WI 54942-8672
(920) 757-5746
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
116716-030
WI
Other
Enumeration date
07/31/2008
Last updated
10/18/2016
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