Individual
DIANA L SLOCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3220 DEMING WAY STE 120, MIDDLETON, WI 53562-1498
(815) 656-0805
Mailing address
10950 N OLD MILL RD, MC CONNELL, IL 61050-9718
(815) 656-0805
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
041374904
IL
163WC0400X
Case Management Registered Nurse
Primary
256391
WI
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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