Individual
JACQUELINE ALFAFARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6817 RAYMOND RD, MADISON, WI 53719-3955
(406) 241-3749
Mailing address
6817 RAYMOND RD, MADISON, WI 53719-3955
(406) 241-3749
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
315893
WI
Other
Enumeration date
07/28/2012
Last updated
07/28/2012
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