Individual
CAROLINA CALIXTO-ROSAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4724 MALLARD LAKE RD, WEBSTER, WI 54893-8879
(715) 791-8354
Mailing address
24035 ELLIS AVE, SIREN, WI 54872-8016
(715) 791-4050
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1104935
WI
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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