Individual
MRS. DEBRA FENCEROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4800 S 10TH ST UNIT 1, MILWAUKEE, WI 53221-2412
(414) 744-5370
(414) 744-9052
Mailing address
4723 N 89TH ST, MILWAUKEE, WI 53225-4901
(414) 464-3268
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
133657
WI
Other
Enumeration date
08/25/2017
Last updated
08/25/2017
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