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Individual

MRS. JODI K. WEICHMANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
512 E PARK AVE, MONTICELLO, WI 53570-9675
(608) 279-9854
Mailing address
512 E PARK AVE, MONTICELLO, WI 53570-9675
(608) 279-9854

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
193538-30
WI
3747P1801X
Personal Care Attendant
193538-30
WI

Other

Enumeration date
01/11/2013
Last updated
01/11/2013
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