Individual
SARAH R R COUILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
901 WEST SHORE DR, DELAFIELD, WI 53018
(414) 588-0393
Mailing address
901 WEST SHORE DR, DELAFIELD, WI 53018
(414) 588-0393
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
WI
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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