Individual
KATHERINE BRADDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
403 SIXTH ST, RACINE, WI 53403-1217
(262) 210-6960
Mailing address
3806 LAKEVIEW DR, MT PLEASANT, WI 53403-9405
(262) 210-6960
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1187
WI
Other
Enumeration date
02/27/2015
Last updated
02/27/2015
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