Individual
ROSE M LOUCKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1721 21ST ST, TWO RIVERS, WI 54241-2510
(920) 905-3755
Mailing address
1721 21ST ST, TWO RIVERS, WI 54241-2510
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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