Individual
MS. JOAN MARIE RASQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
S70W17495 FOREST DR, MUSKEGO, WI 53150
(262) 679-7890
Mailing address
S70W17495 FOREST DR, MUSKEGO, WI 53150
(262) 679-7890
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
18910031
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38256400
—
WI
Enumeration date
12/28/2006
Last updated
07/08/2007
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