Individual
JESSICA SOCOLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9164 S 94TH ST, FRANKLIN, WI 53132-9515
(414) 403-4276
Mailing address
9164 S 94TH ST, FRANKLIN, WI 53132-9515
(414) 403-4276
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
195745
WI
Other
Enumeration date
04/25/2023
Last updated
04/25/2023
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