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Individual

MRS. ANN CAROL MANEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2470 SHELLY CT, BROOKFIELD, WI 53045-4021
(262) 789-1056
(262) 789-0234
Mailing address
2470 SHELLY CT, BROOKFIELD, WI 53045-4021
(262) 789-1056
(262) 789-0234

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
73390-030
WI
163WH0200X
Home Health Registered Nurse
Primary
73390-030
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
35044700
WI
Enumeration date
11/20/2007
Last updated
11/20/2007
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