Individual
MRS. JAMIE A MASHBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1825 PARAMOUNT DR, UNIT H, WAUKESHA, WI 53186-3948
(414) 526-3791
Mailing address
1825 PARAMOUNT DR, UNIT H, WAUKESHA, WI 53186-3948
(414) 526-3791
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
163756-030
WI
Other
Enumeration date
08/19/2013
Last updated
08/19/2013
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