Individual
WANDA KAY ANDERSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
REGISTER NURSE
Contact information
Practice address
1629 OHIO STREET, RACINE, WI 53405-3122
(262) 632-9290
(262) 632-9296
Mailing address
1629 OHIO ST, RACINE, WI 53405-3122
(262) 632-9290
(262) 632-9296
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
WI
Other
Enumeration date
04/07/2006
Last updated
07/08/2007
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