Individual
MISS ASHLEY JORDAN LANAE GERONZIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
S70W20099 ADRIAN DR, MUSKEGO, WI 53150-8200
(262) 366-8662
Mailing address
1241 RIVERTON DR, MUKWONAGO, WI 53149-1053
(563) 503-1968
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
245804
WI
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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