Individual
JESSICA KATHLEEN MATTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
107 WISCONSIN AVE, COCHRANE, WI 54622-7311
(507) 730-1453
Mailing address
215 NORTH ST, FOUNTAIN CITY, WI 54629-8253
(320) 223-5767
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
253632-30
WI
Other
Enumeration date
06/13/2020
Last updated
06/13/2020
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