Individual
JESSICA ALTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 KNOLLWOOD DR, HUDSON, WI 54016-1747
(715) 222-3311
Mailing address
405 STAGELINE RD, HUDSON, WI 54016-7848
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-42055
WI
Other
Enumeration date
02/03/2014
Last updated
02/03/2014
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