Individual
GEORGIA KOUMOUNDOUROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
2500 OVERLOOK TER, MADISON, WI 53705-2254
(608) 256-1901
Mailing address
644 BEAR CLAW WAY, MIDDLETON, WI 53562-5657
(608) 347-3640
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
131319-030
WI
Other
Enumeration date
12/13/2022
Last updated
12/13/2022
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