Individual
TARA ANNE PELOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-2000
Mailing address
1320 S 92ND ST, WEST ALLIS, WI 53214-2707
(847) 528-6944
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
166430-30
WI
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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