Individual
ANDREA MARIA DOSEDLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
N61W23044 HARRYS WAY, SUSSEX, WI 53089-3995
(414) 566-7627
Mailing address
1141 S 75TH ST, WEST ALLIS, WI 53214-3020
(262) 210-7127
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
1682-39
WI
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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