Individual
MRS. JESSICA BETH FUGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6580 S 46TH ST, FRANKLIN, WI 53132-8153
(414) 421-0276
Mailing address
6580 S 46TH ST, FRANKLIN, WI 53132-8153
(414) 421-0276
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
193892
WI
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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