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Individual

JESSICA RAMINTHO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APNP

Contact information

Practice address
13500 WATERTOWN PLANK RD, STE 102, ELM GROVE, WI 53122-2222
(262) 794-3076
(949) 655-2632
Mailing address
721 AMERICAN AVE STE 501, WAUKESHA, WI 53188-5071
(262) 928-4036

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
8712
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
8712
WI

Other

Enumeration date
09/17/2018
Last updated
11/04/2020
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