Individual
RAELEE PENZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2416 SPRINGDALE RD APT 205, WAUKESHA, WI 53186-2738
(262) 339-5268
Mailing address
2416 SPRINGDALE RD APT 205, WAUKESHA, WI 53186-2738
(262) 339-5268
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5508
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/11/2020
Last updated
01/11/2022
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