Individual
SALLY ANN CALVILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1718 STEEPLE DR, EAST TROY, WI 53120-2068
(414) 213-2101
Mailing address
1718 STEEPLE DR, EAST TROY, WI 53120-2068
(414) 213-2101
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
140440-30
WI
Other
Enumeration date
02/19/2010
Last updated
02/19/2010
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