Individual
AMANDA WEX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5109 WORLD DAIRY DR, MADISON, WI 53718-3807
(608) 242-0220
Mailing address
5109 DAIRY WORLD DR, MADISON, WI 53718
(608) 242-0220
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
317766-31
WI
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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