Individual
MS. SALLY JEAN YOUNG-METTILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1407 SAINT ANDREW ST, STE 100, LA CROSSE, WI 54603-3301
(608) 785-5892
(608) 785-6315
Mailing address
1587 MEDARY LN, ONALASKA, WI 54650-8407
(608) 783-6231
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
—
WI
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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