Individual
AMY M GENTEKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
19100 HI VIEW DR, BROOKFIELD, WI 53045-3683
(262) 879-1104
Mailing address
19100 HI VIEW DR, BROOKFIELD, WI 53045-3683
(262) 879-1104
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
WI
Other
Enumeration date
04/03/2008
Last updated
04/03/2008
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