Individual
SHALBE RAE KOSCIESZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
N713 MAPLE DR, CAMPBELLSPORT, WI 53010-3112
(920) 904-2947
Mailing address
N713 MAPLE DR, CAMPBELLSPORT, WI 53010-3112
(920) 904-2947
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
255913-30
WI
Other
Enumeration date
03/16/2021
Last updated
03/16/2021
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