Individual
JENNIFER MARIE CHUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
5573 S LORENE AVE, MILWAUKEE, WI 53221-4065
(414) 940-1604
Mailing address
5573 S LORENE AVE, MILWAUKEE, WI 53221-4065
(414) 940-1604
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
158409-30
WI
Other
Enumeration date
03/18/2010
Last updated
03/18/2010
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