Individual
JUDY POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
51135 COUNTY RD S, GAYS MILLS, WI 54631-8116
(608) 735-4835
Mailing address
51135 COUNTY RD S, GAYS MILLS, WI 54631-8116
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95205-30
WI
Other
Enumeration date
11/17/2014
Last updated
11/17/2014
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