Individual
JACQUELINE JEAN SIEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1007 12TH ST APT 1, MONROE, WI 53566-2057
(608) 214-7908
Mailing address
1007 12TH ST APT 1, MONROE, WI 53566-2057
(608) 214-7908
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
219054-30
WI
Other
Enumeration date
12/27/2017
Last updated
03/17/2018
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