Individual
STEPHANIE L FONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2935 S 95TH ST, WEST ALLIS, WI 53227-3613
(414) 559-7191
Mailing address
2935 S 95TH ST, WEST ALLIS, WI 53227-3613
(414) 559-7191
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
129486-030
WI
Other
Enumeration date
01/13/2010
Last updated
01/13/2010
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