Individual
MRS. JUDITH KAY SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN.
Contact information
Practice address
1232 6TH ST, HUDSON, WI 54016-1342
(715) 386-3415
Mailing address
1157 20TH AVE, DEER PARK, WI 54007-4113
(715) 268-2581
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38205900
—
WI
Enumeration date
03/13/2007
Last updated
07/09/2007
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