Individual
MISS ALYSSA NICHOLE KITZMAN I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
4788 W. CENTER DR., HURLEY, WI 54534-9319
(715) 862-2954
Mailing address
4788 W. CENTER DR., HURLEY, WI 54534-9319
(715) 862-2954
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
316225-031
WI
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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