Individual
RACHEL METZ-FORTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8315 18TH ST, KENOSHA, WI 53144-7106
(262) 914-3240
Mailing address
8315 18TH ST, KENOSHA, WI 53144-7106
(262) 914-3240
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
146205-30
WI
Other
Enumeration date
12/12/2014
Last updated
12/12/2014
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