Individual
COURTNEY RAE FABICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5003 CREEK HAVEN RD, COTTAGE GROVE, WI 53527-9750
(608) 322-6320
Mailing address
5003 CREEK HAVEN RD, COTTAGE GROVE, WI 53527-9750
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
248831
WI
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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