Individual
JUDY ANN DECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
706 E KALEEN LN, BELOIT, WI 53511-6516
(608) 362-4343
Mailing address
706 E KALEEN LN, BELOIT, WI 53511-6516
(608) 362-4343
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
179817-30
WI
164W00000X
Licensed Practical Nurse
305608-31
WI
Other
Enumeration date
01/18/2007
Last updated
09/12/2011
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