Individual
MRS. AUDRIE ROSE MOUZAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1400 HUNTERS RIDGE DR, UNIT 63, GENOA CITY, WI 53128-2532
(262) 215-9691
Mailing address
1400 HUNTERS RIDGE DR, UNIT 63, GENOA CITY, WI 53128-2532
(262) 215-9691
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
172876-030
WI
Other
Enumeration date
08/29/2010
Last updated
08/29/2010
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