Individual
MISS MARYAM JANNESARI LADANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4859 SHEBOYGAN AVE, APT#316, MADISON, WI 53705-2971
(608) 616-5060
Mailing address
4859 SHEBOYGAN AVE, APT#316, MADISON, WI 53705-2971
(608) 616-5060
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
171211-30
WI
Other
Enumeration date
11/24/2010
Last updated
11/24/2010
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