Individual
MRS. SALLY A MAAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3301 N BALLARD RD STE B, APPLETON, WI 54911-9002
(920) 733-4443
(920) 733-4796
Mailing address
3301 N BALLARD RD STE B, APPLETON, WI 54911-9002
(920) 733-4443
(920) 733-4796
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
23827-31
WI
Other
Enumeration date
05/02/2013
Last updated
05/02/2013
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