Individual
MS. CARISSA GEURDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1320 WISCONSIN AVE, RACINE, WI 53403-1978
(262) 687-2699
Mailing address
4118 WASHINGTON RD APT 112, KENOSHA, WI 53144-4208
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/17/2010
Last updated
08/17/2010
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