Individual
MRS. ILONA O'DRISCOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6275 SO. BAAS DR., NEW BERLIN, WI 53146-5504
(262) 679-4846
Mailing address
6275 S BAAS DR, NEW BERLIN, WI 53146-5504
(262) 679-4846
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
120057-030
WI
Other
Enumeration date
11/26/2008
Last updated
11/26/2008
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